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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 i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Paris
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334414/ https://www.ncbi.nlm.nih.gov/pubmed/35731311 http://dx.doi.org/10.1007/s10029-022-02635-5 |
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author | Trawa, M. Albrecht, H. C. Köckerling, F. Riediger, H. Adolf, D. Gretschel, S. |
author_facet | Trawa, M. Albrecht, H. C. Köckerling, F. Riediger, H. Adolf, D. Gretschel, S. |
author_sort | Trawa, M. |
collection | PubMed |
description | 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 < 0.001), postoperative complications (3.2% vs 1.9%; p < 0.001) and complication-related reoperations (1.1% vs 0.7%; p = 0.0442) to the disadvantage of previous prostatectomy. No significant differences were identified for Lichtenstein repair. Direct comparison of the laparo-endoscopic with the open Lichtenstein technique for inguinal hernia repair after previous radical prostatectomy revealed significantly more intraoperative complications for TEP and TAPP (2.1% vs 0.6%; p < 0.001), but more postoperative complications (4.8% vs 3.2%; p < 0.001) and complication-related reoperations (1.8% vs 1.1%; p = 0.003) for open Lichtenstein repair. CONCLUSION: Since there are no clear advantages for the laparo-endoscopic vs the open Lichtenstein technique in inguinal hernia repair after previous radical prostatectomy, the surgeon can opt for one or the other technique in accordance with their experience. |
format | Online Article Text |
id | pubmed-9334414 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Paris |
record_format | MEDLINE/PubMed |
spelling | pubmed-93344142022-07-30 Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients Trawa, M. Albrecht, H. C. Köckerling, F. Riediger, H. Adolf, D. Gretschel, S. Hernia Original Article 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 < 0.001), postoperative complications (3.2% vs 1.9%; p < 0.001) and complication-related reoperations (1.1% vs 0.7%; p = 0.0442) to the disadvantage of previous prostatectomy. No significant differences were identified for Lichtenstein repair. Direct comparison of the laparo-endoscopic with the open Lichtenstein technique for inguinal hernia repair after previous radical prostatectomy revealed significantly more intraoperative complications for TEP and TAPP (2.1% vs 0.6%; p < 0.001), but more postoperative complications (4.8% vs 3.2%; p < 0.001) and complication-related reoperations (1.8% vs 1.1%; p = 0.003) for open Lichtenstein repair. CONCLUSION: Since there are no clear advantages for the laparo-endoscopic vs the open Lichtenstein technique in inguinal hernia repair after previous radical prostatectomy, the surgeon can opt for one or the other technique in accordance with their experience. Springer Paris 2022-06-22 2022 /pmc/articles/PMC9334414/ /pubmed/35731311 http://dx.doi.org/10.1007/s10029-022-02635-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Trawa, M. Albrecht, H. C. Köckerling, F. Riediger, H. Adolf, D. Gretschel, S. Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title | Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title_full | Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title_fullStr | Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title_full_unstemmed | Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title_short | Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
title_sort | outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334414/ https://www.ncbi.nlm.nih.gov/pubmed/35731311 http://dx.doi.org/10.1007/s10029-022-02635-5 |
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