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[Is the rate of complications in simultaneous inguinal hernia repair and extraperitoneal simple prostatectomy using
G Biktimirov R1,2,3,4, G Martov A1,2,3,4, R Biktimirov T1,2,3,4
1Federal clinical center of high medical technology of FMBA of Russia Novogors district, Khimki, Moscow region, Russia.
Background:
The correlation between inguinal hernia and benign prostatic hyperplasia (BPH) is well known. Minimal invasive simple prostatectomy (MISP) may be method of choice for surgical treatment of BPH with volume more than 80 cc. Literature review has revealed retrospective studies of laparoscopic or robot-assisted radical prostatectomy with simultaneous inguinal hernia repair and acceptable complication rate. Open simple and radical prostatectomy provide the same results. Similar studies for MISP have not been found.
Aim:
To evaluate the rate of complications of simultaneous laparoscopic hernioplasty of inguinal hernia and MISP compared to MISP alone.
Materials And Methods:
The data of 79 patients, who underwent MISP, were analyzed retrospectively. The two groups were formed. In the group I, only MISP (n=34) was performed. In the group II, MISP and simultaneous inguinal hernia repair (n=17) were done, including three bilateral and other unilateral procedure. Three patients in group II additionally underwent simultaneous cystolithotomy. The same surgical approach was used for both groups. The Fishers exact test was used for statistical analysis.
Results:
There were no significant differences (p>0.005) in mean age of patients (68 vs. 71 years), volume of blood loss (416 vs. 238 ml), duration of procedure (190 vs. 221 min) and complications rates (11.7% vs. 5.8%) between two groups. The mean prostate volume was 128 cc in both groups.
Conclusions:
Simultaneous MISP and laparoscopic inguinal hernioplasty in patients with BPH does not result in higher complication rate compared to MISP.
Insights
Simultaneous minimally invasive simple prostatectomy (MISP) and laparoscopic inguinal hernia repair for benign prostatic hyperplasia (BPH) showed no increased complication rates compared to MISP alone.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Benign prostatic hyperplasia (BPH) and inguinal hernias frequently coexist.
- Minimally invasive simple prostatectomy (MISP) is a preferred treatment for BPH over 80 cc.
- Limited data exists on MISP combined with simultaneous inguinal hernia repair.
Purpose of the Study:
- To compare complication rates of MISP with and without simultaneous laparoscopic inguinal hernia repair.
- To evaluate the safety and efficacy of combined procedures.
Main Methods:
- Retrospective analysis of 79 patients undergoing MISP.
- Group I: MISP alone (n=34).
- Group II: MISP with simultaneous laparoscopic inguinal hernia repair (n=17), with some patients also undergoing cystolithotomy.
Main Results:
- No significant differences in age, blood loss, procedure duration, or complication rates between groups.
- Mean prostate volume was 128 cc in both groups.
- Complication rates were 11.7% for MISP alone vs. 5.8% for combined procedures.
Conclusions:
- Simultaneous MISP and laparoscopic inguinal hernioplasty is a safe option.
- This combined approach does not increase complication rates compared to MISP alone.
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