Simple method for preventing inguinal hernias after radical retropubic prostatectomy
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 2...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-06-01
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| Series: | Prostate International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2287888215300283 |
| _version_ | 1797716076952289280 |
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| author | Hidekazu Koike Hiroshi Matsui Yasuyuki Morikawa Yasuhiro Shibata Kazuto Ito Kazuhiro Suzuki |
| author_facet | Hidekazu Koike Hiroshi Matsui Yasuyuki Morikawa Yasuhiro Shibata Kazuto Ito Kazuhiro Suzuki |
| author_sort | Hidekazu Koike |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T08:16:10Z |
| format | Article |
| id | doaj.art-cbf64b12637646f28981ddd55034bd3a |
| institution | Directory Open Access Journal |
| issn | 2287-8882 |
| language | English |
| last_indexed | 2024-03-12T08:16:10Z |
| publishDate | 2013-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Prostate International |
| spelling | doaj.art-cbf64b12637646f28981ddd55034bd3a2023-09-02T18:51:46ZengElsevierProstate International2287-88822013-06-0112768010.12954/PI.12009Simple method for preventing inguinal hernias after radical retropubic prostatectomyHidekazu KoikeHiroshi MatsuiYasuyuki MorikawaYasuhiro ShibataKazuto ItoKazuhiro SuzukiInguinal 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.http://www.sciencedirect.com/science/article/pii/S2287888215300283Inguinal herniaControl and preventionProstate neoplasmsProstatectomy |
| spellingShingle | Hidekazu Koike Hiroshi Matsui Yasuyuki Morikawa Yasuhiro Shibata Kazuto Ito Kazuhiro Suzuki Simple method for preventing inguinal hernias after radical retropubic prostatectomy Prostate International Inguinal hernia Control and prevention Prostate neoplasms Prostatectomy |
| title | Simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| title_full | Simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| title_fullStr | Simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| title_full_unstemmed | Simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| title_short | Simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| title_sort | simple method for preventing inguinal hernias after radical retropubic prostatectomy |
| topic | Inguinal hernia Control and prevention Prostate neoplasms Prostatectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2287888215300283 |
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