ArticleSurgical endoscopy2013
Totally extraperitoneal inguinal hernia repair in patients previously having prostatectomy is feasible, safe, and effective.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Open and minimally invasive inguinal hernia repair for patients with previous prostatectomy: a systematic review and proportional meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Is previous prostatectomy a risk factor for postoperative complications following minimally invasive inguinal hernia repair? A systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Outcomes and evolving surgical trends in inguinal hernia repair following prior urologic surgery: a 15-year single-center retrospective cohort study.BMC surgery · 2026Article
- Article
- Is previous radical prostatectomy an adversity for laparoscopic total extraperitoneal approach for inguinal hernia repair? A propensity score case matched study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Risk of conversion after intended total extraperitoneal hernia repair for inguinal hernia depends on type of previous abdominal surgery.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Totally extraperitoneal laparoscopic inguinal hernia repair post-radical prostatectomy.Surgical endoscopy · 2022Article
- Outcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Evaluating outcomes for robotic-assisted inguinal hernia repair in males with prior urologic surgery: a propensity-matched analysis from a national database.Surgical endoscopy · 2021Article
- Totally extraperitoneal inguinal hernia repair during extraperitoneal laparoscopic radical prostatectomy: Report of a case.International journal of surgery case reports · 2015Article
- Consensus Statement on the Management of Inguinal Hernias Following Radical Prostatectomy: A Delphi-Based Expert Panel Report From Anatomy on the Border (AOB) at the 37th Annual Meeting of the Japan Society for Endoscopic Surgery.Asian journal of endoscopic surgeryArticle
- Safety, feasibility and clinical outcome of minimally invasive inguinal hernia repair in patients with previous radical prostatectomy: A systematic review of the literature.Journal of minimal access surgeryReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe laparoscopic approach to repair of inguinal hernia has proven advantages over open repair. Repair of more technically challenging hernias, such as patients previously receiving prostatectomy, has been less studied and may not have these advantages. We aimed to compare safety, feasibility, and clinical outcomes for repairs in patients who previously underwent prostatectomy to control subjects.
methodsWe undertook a case-control study using a prospectively collected database. From 2004, all patients were routinely offered totally extraperitoneal laparoscopic repair. All patients who had a history of previous prostatectomy were identified and compared to a matched control group. Both operative and follow-up data were analyzed.
resultsOf 987 patients undergoing surgery during this time period, 52 prostatectomy patients were identified (44% open, 44% robotic, 3% laparoscopic) and matched to 102 control subjects. Accounting for bilateral repairs, 203 hernia repairs had been performed. Patients were well matched for age and American Society of Anesthesiologists score. Operative time was longer for prostatectomy patients (mean, 70 vs. 52 min, p < 0.0001); however, this reduced over time when comparing the first and second half prostatectomy patients (77 vs. 63 min, p = 0.144). Overall, there were no intraoperative or major postoperative complications and only one conversion (prostatectomy group). No significant differences were found for rates of minor postoperative complications, length of stay, or recurrence (n = 1, control group). No difference was observed for chronic pain, and all patients in each group reported satisfaction with surgery at contemporary follow-up.
conclusionsIn experienced hands, totally extraperitoneal inguinal hernia repair for patients previously having undergone prostatectomy is safe and has equivalent outcomes to patients not having undergone prostatectomy, and is an option to open repair. Understandably, slightly longer operative times may be justified, given the benefits of early discharge and less postoperative pain after laparoscopic surgery.
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