Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients

Introduction Following radical prostatectomy, the rate of inguinal hernias is fourfold higher compared to controls. Laparo-endoscopic repair after previous radical prostatectomy is considered complex. Therefore, the guidelines recommend open Lichtenstein repair. To date, there are limited data on in...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2022-08, Vol.26 (4), p.1143-1152
Main Authors: Trawa, M., Albrecht, H. C., Köckerling, F., Riediger, H., Adolf, D., Gretschel, S.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Complications
Endoscopy
Hernia
Hernias
Medicine
Medicine & Public Health
Original
Original Article
Postoperative
Prostatectomy
Urological surgery
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Summary:Introduction Following radical prostatectomy, the rate of inguinal hernias is fourfold higher compared to controls. Laparo-endoscopic repair after previous radical prostatectomy is considered complex. Therefore, the guidelines recommend open Lichtenstein repair. To date, there are limited data on inguinal hernia repair after prior prostatectomy. Methods In a retrospective analysis from the Herniamed Registry, the outcomes of 255,182 primary elective unilateral inguinal hernia repairs were compared with those of 12,465 patients with previous radical prostatectomy in relation to the surgical technique. Furthermore, the outcomes of laparo-endoscopic versus open Lichtenstein repair techniques in the 12,465 patients after previous radical prostatectomy were directly compared. Results Comparison of the perioperative complication rates for primary elective unilateral inguinal hernia repair with and without previous radical prostatectomy demonstrated for the laparo-endoscopic techniques significantly higher intraoperative complications (2.1% vs 0.9%; p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-022-02635-5