Is the rate of complications in simultaneous inguinal hernia repair and extraperitoneal simple prostatectomy using laparoscopic approach increased compared to simple prostatectomy alone?

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Introduction.. The correlation between inguinal hernia and benign prostatic hyperplasia (BPH) is well known. Minimal invasive simple prostatectomy (MISP) may be method of choice for surgical treatment of BPH with volume more than 80 cc. Literature review has revealed retrospective studies of laparoscopic or robot-assisted radical prostatectomy with simultaneous inguinal hernia repair and acceptable complication rate. Open simple and radical prostatectomy provide the same results. Similar studies for MISP have not been found.

Aim. To evaluate the rate of complications of simultaneous laparoscopic hernioplasty of inguinal hernia and MISP compared to MISP alone.

Materials and methods. The data of 79 patients, who underwent MISP, were analyzed retrospectively. The two groups were formed. In the group I, only MISP (n=34) was performed. In the group II, MISP and simultaneous inguinal hernia repair (n=17) were done, including three bilateral and other unilateral procedure. Three patients in group II additionally underwent simultaneous cystolithotomy. The same surgical approach was used for both groups. The Fisher’s exact test was used for statistical analysis.

Results. There were no significant differences (p>0.005) in mean age of patients (68 vs. 71 years), volume of blood loss (416 vs. 238 ml), duration of procedure (190 vs. 221 min) and complications rates (11.7% vs. 5.8%) between two groups. The mean prostate volume was 128 cc in both groups.

Conclusions. Simultaneous MISP and laparoscopic inguinal hernioplasty in patients with BPH does not result in higher complication rate compared to MISP.

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Sobre autores

Rafael Biktimirov

Federal clinical center of high medical technology of FMBA of Russia; IPPE of A.I. Burnazyan SSC FMBC of FMBA of Russia

Email: rafbik@kb119.ru
ORCID ID: 0000-0001-6349-3277

Ph.D., Head of the Department of Urology of Federal clinical center of high medical technology, Department of Urology and Andrology

 

Rússia, 141435 Moscow region, Khimki microdistrict Novogorsk;123098, Moscow, st. Marshala Novikova, 23

Alexey Martov

IPPE of A.I. Burnazyan SSC FMBC of FMBA of Russia

Email: martovalex@mail.ru
ORCID ID: 0000-0001-6324-6110

Ph.D., MD, professor, corresponding member of RAS, Head of the Department of Urology and Andrology

Rússia, 123098, Moscow, st. Marshala Novikova, 23

Timur Biktimirov

The Skobelkin Centre for Laser Medicine FMBA

Email: Gabastm@mail.ru
ORCID ID: 0000-0003-3210-4704

Researcher

 

Rússia, 121165, Moscow, Studencheskaya st. 40

Alexey Kaputovskij

General military hospital named after N.N. Burdenko, filial №8 Moscow region

Autor responsável pela correspondência
Email: kaputovsky79@mail.ru
ORCID ID: 0009-0008-4789-1118

Head of the Department of urology

Rússia, 141408 Moscow region, Khimki, Planernaya microdistrict, bldg. 14

Bibliografia

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2. Fig. 1. Hernial orifice of direct inguinal hernia on the left before plastic surgery. The spermatic cord is visible on the left, indicated by arrows. The hernial orifice is also indicated by arrows in the upper part of the figure. The left epigastric vessels are visible lateral to the orifice.

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3. Fig. 2. Left-sided inguinal hernioplasty according to Niehus. Intraoperative moment of tightening the applied suture

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4. Fig. 3. The moment of fixation of the polypropylene mesh to the rectus abdominis muscle with spiral fixators

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