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A new preperitoneal technique for the repair of inguinal hernia during prostatic surgery: first 153 procedures
E Brunocilla1, C V Pultrone, R Schiavina
1Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Via Palagi 9, 40134, Bologna, Italy.
Purpose:
We describe a new preperitoneal technique that makes use of a plug fixed with a single percutaneous suture to cover the hernial defect during prostatic surgery.
Methods:
One hundred and twenty-seven patients with unilateral or bilateral inguinal hernia underwent preperitoneal prosthetic hernioplasty during pelvic surgery for benign or malignant prostatic pathologies. These procedures (153 hernioplasties in total) were performed by the same urologist using the new technique described.
Results:
There was only one recurrence (0.6%) reported by patients undergoing preperitoneal inguinal hernioplasty with our new technique. No patients had other complications like infections, fistula, painful scrotum, or hematoma.
Conclusions:
The new technique, described by us, is easily performed, and it does not require a long execution time. It provides minimum tension on the surrounding tissues and it can be performed safely and without important complications like recurrence, infection, and chronic pain.