Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical... Abstract To prevent inguinal hernia after retropubic radical prostatectomy, many urologists have utilized a prevention technique of inguinal hernia at the same time as retropubic radical prostatectomy. Here, we report the clinical benefit of the prevention technique of inguinal hernia as well as risk factors for the incidence of inguinal hernia. We investigated the medical records of 223 men who underwent retropubic radical prostatectomy for clinically localized prostate cancer between January 2007 and March 2013 at our medical center. We assessed the association between the postoperative inguinal hernia and variables such as age, body mass index, and previous abdominal surgery. Inguinal hernia-free survival was analyzed to verify risk factors of postoperative inguinal hernia. Of 223 patients, 67 (30 %) received prevention of inguinal hernia and 156 (70 %) did not. The median follow-up period after retropubic radical prostatectomy was 36 months (range, 3–58 months). Thirty one (14 %) patients developed unilateral or bilateral inguinal hernia after retropubic radical prostatectomy. The rate of postoperative inguinal hernia in prevented and non-prevented group was 3 % (2 of 67) and 19 % (29 of 156), respectively (P < 0.01, Mann-Whitney U test). Moreover, postoperative inguinal hernia-free survival in the prevention group was significantly longer than that in the non-prevented group (P < 0.01, log-rank test). In the prevention group, 1-, 2-, and 3-year inguinal hernia-free survival rates were 100 %, 96 %, and 96 %, respectively. Other clinical factors including age, body mass index, previous abdominal surgery, and previous inguinal hernia were not associated with the incidence of inguinal hernia in our cohort. The prevention technique was simple and safe to perform, and it could increase inguinal hernia-free survival rates after retropubic radical prostatectomy. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Indian Journal of Surgical Oncology Springer Journals

Prevention Technique of Postoperative Inguinal Hernia in Patients Undergoing Radical Prostatectomy for Localized Prostate Cancer

Download PDF
5 pages

Loading next page...
 
/lp/springer-journals/prevention-technique-of-postoperative-inguinal-hernia-in-patients-GL4LzIdXeN
Publisher
Springer Journals
Copyright
2016 Indian Association of Surgical Oncology
ISSN
0975-7651
eISSN
0976-6952
DOI
10.1007/s13193-016-0526-0
Publisher site
See Article on Publisher Site

Abstract

Abstract To prevent inguinal hernia after retropubic radical prostatectomy, many urologists have utilized a prevention technique of inguinal hernia at the same time as retropubic radical prostatectomy. Here, we report the clinical benefit of the prevention technique of inguinal hernia as well as risk factors for the incidence of inguinal hernia. We investigated the medical records of 223 men who underwent retropubic radical prostatectomy for clinically localized prostate cancer between January 2007 and March 2013 at our medical center. We assessed the association between the postoperative inguinal hernia and variables such as age, body mass index, and previous abdominal surgery. Inguinal hernia-free survival was analyzed to verify risk factors of postoperative inguinal hernia. Of 223 patients, 67 (30 %) received prevention of inguinal hernia and 156 (70 %) did not. The median follow-up period after retropubic radical prostatectomy was 36 months (range, 3–58 months). Thirty one (14 %) patients developed unilateral or bilateral inguinal hernia after retropubic radical prostatectomy. The rate of postoperative inguinal hernia in prevented and non-prevented group was 3 % (2 of 67) and 19 % (29 of 156), respectively (P < 0.01, Mann-Whitney U test). Moreover, postoperative inguinal hernia-free survival in the prevention group was significantly longer than that in the non-prevented group (P < 0.01, log-rank test). In the prevention group, 1-, 2-, and 3-year inguinal hernia-free survival rates were 100 %, 96 %, and 96 %, respectively. Other clinical factors including age, body mass index, previous abdominal surgery, and previous inguinal hernia were not associated with the incidence of inguinal hernia in our cohort. The prevention technique was simple and safe to perform, and it could increase inguinal hernia-free survival rates after retropubic radical prostatectomy.

Journal

Indian Journal of Surgical Oncology – Springer Journals

Published: Mar 1, 2017

Keywords: surgical oncology; oncology; surgery

References

  • Incidence of inguinal hernias following radical retropubic prostatectomy
    TC Regan, RM Mordkin, NL Constantinople
  • Predicting risk factors for inguinal hernia after radical retropubic prostatectomy
    CM Twu, YC Ou, CR Yang
  • High incidence of inguinal hernia after radical retropubic prostatectomy
    K Ichioka, K Yoshimura, N Utsunomiya
  • Postoperative inguinal hernia after radical prostatectomy for prostate cancer
    T Abe, N Shinohara, T Harabayashi
  • Frequency of postoperative inguinal hernia after endoscope-assisted mini-laparotomy and conventional retropubic radical prostatectomies
    T Koie, T Yoneyama, N Kamimura
  • Inguinal hernia after radical retropubic prostatectomy for prostate cancer: a study of incidence and risk factors in comparison to no operation and lymphadenectomy
    P Lodding, C Bergdahl, M Nyberg
  • A novel technique to prevent postradical retropubic prostatectomy inguinal hernia: the processus vaginalis transection method
    Y Fujii, S Yamamoto, J Yonese
  • Simple prophylactic procedure of inguinal hernia after radical retropubic prostatectomy: isolation of the spermatic cord
    Y Sakai, T Okuno, T Kijima
  • Combined open prostatectomy and herniorrhaphy
    WS Jasper
  • Incidence and risk factors for inguinal and incisional hernia after laparoscopic radical prostatectomy
    BM Lin, ME Hyndman, KE Steele
  • Inguinal hernia after radical prostatectomy for prostate cancer: results from a randomized setting and a nonrandomized setting
    J Stranne, E Johansson, A Nilsson