Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients
Rattachement africain : de. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
INTRODUCTION: Following radical prostatectomy, the rate of inguinal hernias is fourfold higher compared to controls. Laparo-endoscopic repair after previous radical prostatectomy is considered complex. Therefore, the guidelines recommend open Lichtenstein repair. To date, there are limited data on inguinal hernia repair after prior prostatectomy. METHODS: In a retrospective analysis from the Herniamed Registry, the outcomes of 255,182 primary elective unilateral inguinal hernia repairs were compared with those of 12,465 patients with previous radical prostatectomy in relation to the surgical technique. Furthermore, the outcomes of laparo-endoscopic versus open Lichtenstein repair techniques in the 12,465 patients after previous radical prostatectomy were directly compared. RESULTS: Comparison of the perioperative complication rates for primary elective unilateral inguinal hernia repair with and without previous radical prostatectomy demonstrated for the laparo-endoscopic techniques significantly higher intraoperative complications (2.1% vs 0.9%; p < 0.001), postoperative complications (3.2% vs 1.9%; p < 0.001) and complication-related reoperations (1.1% vs 0.7%; p = 0.0442) to the disadvantage of previous prostatectomy. No significant differences were identified for Lichtenstein repair. Direct comparison of the laparo-endoscopic with the open Lichtenstein technique for inguinal hernia repair after previous radical prostatectomy revealed significantly more intraoperative complications for TEP and TAPP (2.1% vs 0.6%; p < 0.001), but more postoperative complications (4.8% vs 3.2%; p < 0.001) and complication-related reoperations (1.8% vs 1.1%; p = 0.003) for open Lichtenstein repair. CONCLUSION: Since there are no clear advantages for the laparo-endoscopic vs the open Lichtenstein technique in inguinal hernia repair after previous radical prostatectomy, the surgeon can opt for one or the other technique in accordance with their experience.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients
- Date Crossref
- 22/06/2022
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Medizinische Hochschule Brandenburg Theodor Fontane pays non établi dans la noticeUniversité ou école supérieure
-
Charité - Universitätsmedizin Berlin pays non établi dans la noticeÉtablissement de santé
-
InfoConsult (Germany) pays non établi dans la noticeEntreprise
-
University Hospital Ruppin-Brandenburg Department of General pays non établi dans la noticeUniversité ou école supérieure
-
Faculty of Health Brandenburg pays non établi dans la noticeUniversité ou école supérieure
-
Academic Teaching Hospital of Charité Medical School Department of Surgery pays non établi dans la noticeÉtablissement de santé
-
StatConsult GmbH pays non établi dans la noticeEntreprise
Medizinische Hochschule Brandenburg Theodor Fontane, Charité - Universitätsmedizin Berlin et InfoConsult (Germany), avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.