Simultaneous robotic-assisted radical prostatectomy and robot-assisted transabdominal preperitoneal inguinal hernia repair

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Resumo

Introduction. An inguinal hernia is frequently identified in men with prostate cancer, which is likely due to similar risk factors, including age, gender and smoking.

Aim. To assess the safety and feasibility of performing concomitant robotic-assisted radical prostatectomy (RARP) and robotic-assisted transabdominal preperitoneal (TAPP) inguinal hernia repair.

Materials and methods. We retrospectively analyzed the treatment outcomes of 23 patients who underwent RARP between January 2022 and June 2023. All patients underwent RARP and robotic-assisted TAAP inguinal hernia repair using a polypropylene mesh implant.

Results. The mean age was 70 years. Median prostate volume and preoperative prostate-specific antigen (PSA) were 52 ml and 8.0 ng/ml, respectively. In all cases the procedure was successful. The mean total duration of RARP and inguinal hernia repair was 147.17 and 26.01 minutes, respectively. The mean estimated blood loss and length of hospital stay was 171.96 mL and 7 days, respectively. In nine cases there was Clavien-Dindo grade 1 complications in the postoperative period; all complications were resolved conservatively. At a median follow-up of 12 months, there were no cases of mesh infection, seroma formation, or inguinal pain.

Conclusions. Our results confirm the safety and feasibility of simultaneous RARP and robot-assisted TAPP inguinal hernia repair.

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Sobre autores

V. Glybochko

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: asadulla10@mail.ru

Institute of Urology and Human Reproductive Health, student at the Institute of the Clinical Medicine named after N.V. Sklifosovsky

Rússia, Moscow

A. Kurbanov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Autor responsável pela correspondência
Email: asadulla10@mail.ru

Ph.D. student at the Institute of Urology and Human Reproductive Health 

Rússia, Moscow

Y. Chernov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: yarik.chernov@mail.ru

Ph.D., urologist at the Institute of Urology and Human Reproductive Health 

Rússia, Moscow

D. Chinenov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: chinenovdv@rambler.ru

Ph.D., associate professor at the Institute of Urology and Human Reproductive Health 

Rússia, Moscow

D. Tevs

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: dmitriy.tevs@gmail.com

Ph.D., surgeon at the Surgical Department No2 of the Clinic of faculty surgery named after N.N. Burdenko

Rússia, Moscow

A. Votyakov

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: votyakov.a.yu@gmail.com

urologist at the Institute of Urology and Human Reproductive Health 

Rússia, Moscow

P. Ovchinnikova

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: ovchinnikova_p_r@staff.sechenov.ru

assistant at the Department of faculty surgery No1, Clinic of faculty surgery named after N.N. Burdenko 

Rússia, Moscow

E. Shpot

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: shpot@inbox.ru

Ph.D., MD, professor, deputy director on scientific work at the Department of Urology at the Institute for Urology and Human Reproductive Health 

Rússia, Moscow

F. Vetshev

FGAOU VO I.M. Sechenov First Moscow State Medical University

Email: vetshev_f_p@staff.sechenov.ru

Ph.D., MD, Head of the Department of faculty surgery No1, Director of the Clinic of faculty surgery named after N.N. Burdenko

Rússia, Moscow

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