LAPAROSCOPIC APPROACH IN THE TREATMENT OF INGUINAL HERNIAS IN PATIENTS AFTER RADICAL PROSTATECTOMY: COMPARISON OF TARR AND TER RESULTS

Aim: To compare and evaluate the immediate and long-term results of performing transabdominal preperitoneal hernioplasty (TAPP) and total extraperitoneal hernioplasty (TEP) for the treatment of inguinal hernias after surgical treatment of prostate cancer;Material and method: the study is a clinical analytical prospective study, with the use of randomization. The study included 88 patients with inguinal hernia, who were randomly divided into two groups (group A (n = 44) and group B (n = 44)). Patients in group A received TEP, those in group B received TAPP. The end points of the study were the results associated with the operation itself and the prognosis of the disease in the two groups.Results: Group A: one patient had a scrotal hematoma, in 2 cases nosocomial pneumonia or infectious complications from the postoperative wound. The overall rate of early postoperative complications was 6.8%. In group B, the following postoperative complications were reported: in one case, intestinal injury, 1 case of acute urinary retention, 2 cases of scrotal hematoma. The overall incidence of early postoperative complications was 9.1%. There was no statistically significant difference in the incidence of postoperative complications between the two groups (χ = 0.009, P > 0.05).Conclusion: During the analysis of the obtained results, no statistically significant difference was found in the duration of hospitalization, the volume of blood loss and the severity of the pain syndrome (P> 0.05); however, the comparison groups differed in the duration of the operation: the operation time in group A was longer than in group B. (P＜0.05).

[1]  F. Muysoms,et al.  Robotic-assisted laparoscopic inguinal hernia repair after previous transabdominal prostatectomy , 2021, Surgical Endoscopy.

[2]  Alisa M. Coker,et al.  The SAGES Manual of Hernia Surgery , 2019, Springer International Publishing.

[3]  F. Köckerling,et al.  Current Concepts of Inguinal Hernia Repair , 2018, Visceral Medicine.

[4]  G. Campanelli,et al.  International guidelines for groin hernia management , 2018, Hernia.

[5]  W. Ng,et al.  Prospective, randomized, controlled trial comparing lightweight versus heavyweight mesh in chronic pain incidence after TEP repair of bilateral inguinal hernia , 2010, Surgical Endoscopy.

[6]  T. Ichikawa,et al.  Incidence of inguinal hernia after prostate surgery: Open radical retropubic prostatectomy versus open simple prostatectomy versus transurethral resection of the prostate , 2009, International journal of urology : official journal of the Japanese Urological Association.

[7]  Y. Kawarada,et al.  Postoperative inguinal hernia after radical prostatectomy for prostate cancer. , 2007, Urology.

[8]  A. Mahajna,et al.  Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery , 2006, Surgical Endoscopy And Other Interventional Techniques.

[9]  P. Walsh,et al.  Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. , 2005, Urology.

[10]  J. Hugosson,et al.  Inguinal hernia in stage M0 prostate cancer: a comparison of incidence in men treated with and without radical retropubic prostatectomy--an analysis of 1105 patients. , 2005, Urology.

[11]  J. Skandalakis,et al.  The history of anatomy and surgery of the preperitoneal space. , 2005, Archives of surgery.

[12]  K. Yoshimura,et al.  High incidence of inguinal hernia after radical retropubic prostatectomy. , 2004, Urology.

[13]  U Klinge,et al.  Modified mesh for hernia repair that is adapted to the physiology of the abdominal wall. , 2003, The European journal of surgery = Acta chirurgica.