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Updated: Jun 22, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Urologic pelvic surgery following mesh hernia repair
A Tsivian1, O Brodsky, A Shtricker
1Department of Urologic Surgery, The E. Wolfson Medical Center, P.O.B. 5, Holon 58100, Israel.
Summary
Prior inguinal mesh repair can complicate subsequent urologic surgery. Despite potential challenges like bleeding and bladder injury, these procedures remain feasible and should not be disregarded in surgical planning.
Area of Science:
- Urology
- Surgical Oncology
- Hernia Repair
Background:
- Previous inguinal surgery with prosthetic mesh is increasingly common.
- The impact of mesh repair on subsequent urologic procedures is not well-documented.
Purpose of the Study:
- To analyze the feasibility and outcomes of urologic surgery following prior mesh hernia repair.
- To identify potential complications and challenges in these cases.
Main Methods:
- Retrospective review of patients undergoing urologic surgery after mesh hernia repair (2002-2008).
- Analysis of perioperative parameters, complications, and outcomes.
Main Results:
- Twenty-three patients (mean age 75.3 years) underwent pelvic urologic surgery after mesh hernia repair.
- Complications included surgery abortion, inability to perform lymph node dissection, bleeding, bladder injury, and need for additional surgery.
- Procedures included open and laparoscopic prostatectomies, cystoprostatectomies, and bladder augmentation.
Conclusions:
- Prior synthetic mesh in the abdominal wall presents challenges for subsequent urologic procedures.
- Operative planning may need modification, but feasibility is confirmed.
- These surgeries are viable and should be considered despite potential difficulties.
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