Limits...
Simple method for preventing inguinal hernias after radical retropubic prostatectomy.

Koike H, Matsui H, Morikawa Y, Shibata Y, Ito K, Suzuki K - Prostate Int (2013)

Bottom Line: The remaining 115 patients who underwent RRP but did not undergo the hernia prevention procedure were used as the control group.The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001).The procedure is easy to perform and produces excellent outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Gunma University Graduate School of Medicine, Maebashi, Japan.

ABSTRACT

Purpose: Inguinal hernias often occur after radical retropubic prostatectomy (RRP). We present a novel and simple technique for preventing inguinal hernias after RRP, which any surgeon can complete within a few minutes.

Methods: A total of 230 Japanese prostate cancer patients underwent RRP between January 2007 and September 2011. From July 2009, 115 patients underwent inguinal hernia prevention procedures at the same time as RRP. In this procedure, we released approximately 5 cm of the bilateral vas deferens and spermatic vessels from the peritoneum. In cases in which the processus vaginalis had spread into the abdomen, we ligated it close to the peritoneal cavity and then transected it. The remaining 115 patients who underwent RRP but did not undergo the hernia prevention procedure were used as the control group. The incidence rate of postoperative inguinal hernia was compared between the 2 groups.

Results: Inguinal hernias developed during the postoperative follow-up period in 18 of the 115 control patients (15.7%) (median duration, 50 months). The hernia-free survival rate of this group was 89.6% and 84.1% at 1 and 2 postoperative years, respectively. In contrast, only 1 of the 115 patients (0.87%) who underwent the hernia prevention procedure developed an inguinal hernia during the follow-up period (median duration, 27 months). The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001).

Conclusions: We developed a simple method for preventing post-RRP inguinal hernias. The procedure is easy to perform and produces excellent outcomes.

No MeSH data available.


Related in: MedlinePlus

The Kaplan-Meier inguinal hernia-free rates after RRP of patients who did (prevention) or did not (control) undergo our hernia prevention procedure. The numbers on the curves indicate the number of patients at risk. Log-rank test of 2 samples (P<0.001).
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3814116&req=5

f2-pi_1-2-76-05: The Kaplan-Meier inguinal hernia-free rates after RRP of patients who did (prevention) or did not (control) undergo our hernia prevention procedure. The numbers on the curves indicate the number of patients at risk. Log-rank test of 2 samples (P<0.001).

Mentions: Table 1 shows the characteristics of the patients. IH developed postoperatively in 18 of the 115 control patients (15.7%) during the follow-up period (median duration, 50 months). The hernia-free survival rate of this group was 89.6% and 84.1% at 1 and 2 postoperative years, respectively. In contrast, only 1 of the 115 patients (0.87%) who underwent the hernia prevention procedure developed an IH during the follow-up period (median duration, 27 months). The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001) (Fig. 2). The hernia prevention procedure was not associated with any significant complications and only added a few minutes to the procedure time.


Simple method for preventing inguinal hernias after radical retropubic prostatectomy.

Koike H, Matsui H, Morikawa Y, Shibata Y, Ito K, Suzuki K - Prostate Int (2013)

The Kaplan-Meier inguinal hernia-free rates after RRP of patients who did (prevention) or did not (control) undergo our hernia prevention procedure. The numbers on the curves indicate the number of patients at risk. Log-rank test of 2 samples (P<0.001).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814116&req=5

f2-pi_1-2-76-05: The Kaplan-Meier inguinal hernia-free rates after RRP of patients who did (prevention) or did not (control) undergo our hernia prevention procedure. The numbers on the curves indicate the number of patients at risk. Log-rank test of 2 samples (P<0.001).
Mentions: Table 1 shows the characteristics of the patients. IH developed postoperatively in 18 of the 115 control patients (15.7%) during the follow-up period (median duration, 50 months). The hernia-free survival rate of this group was 89.6% and 84.1% at 1 and 2 postoperative years, respectively. In contrast, only 1 of the 115 patients (0.87%) who underwent the hernia prevention procedure developed an IH during the follow-up period (median duration, 27 months). The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001) (Fig. 2). The hernia prevention procedure was not associated with any significant complications and only added a few minutes to the procedure time.

Bottom Line: The remaining 115 patients who underwent RRP but did not undergo the hernia prevention procedure were used as the control group.The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001).The procedure is easy to perform and produces excellent outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Gunma University Graduate School of Medicine, Maebashi, Japan.

ABSTRACT

Purpose: Inguinal hernias often occur after radical retropubic prostatectomy (RRP). We present a novel and simple technique for preventing inguinal hernias after RRP, which any surgeon can complete within a few minutes.

Methods: A total of 230 Japanese prostate cancer patients underwent RRP between January 2007 and September 2011. From July 2009, 115 patients underwent inguinal hernia prevention procedures at the same time as RRP. In this procedure, we released approximately 5 cm of the bilateral vas deferens and spermatic vessels from the peritoneum. In cases in which the processus vaginalis had spread into the abdomen, we ligated it close to the peritoneal cavity and then transected it. The remaining 115 patients who underwent RRP but did not undergo the hernia prevention procedure were used as the control group. The incidence rate of postoperative inguinal hernia was compared between the 2 groups.

Results: Inguinal hernias developed during the postoperative follow-up period in 18 of the 115 control patients (15.7%) (median duration, 50 months). The hernia-free survival rate of this group was 89.6% and 84.1% at 1 and 2 postoperative years, respectively. In contrast, only 1 of the 115 patients (0.87%) who underwent the hernia prevention procedure developed an inguinal hernia during the follow-up period (median duration, 27 months). The hernia-free survival rate of this group was 100% at both 1 and 2 postoperative years (P<0.0001).

Conclusions: We developed a simple method for preventing post-RRP inguinal hernias. The procedure is easy to perform and produces excellent outcomes.

No MeSH data available.


Related in: MedlinePlus