Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis

doi:10.1007/s10029-024-03098-6

Meta-Analysis

. 2024 Oct;28(5):1525-1536.

doi: 10.1007/s10029-024-03098-6. Epub 2024 Jul 11.

Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis

Affiliations

¹ Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Via C. Belgioioso, 173, Milan, Italy. alberto.aiolfi86@gmail.com.
² Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Via C. Belgioioso, 173, Milan, Italy.
³ Division of General Surgery, Department of Surgery, I.R.C.C.S. Ospedale Galeazzi-Sant'Ambrogio, University of Insubria, Milan, Italy.
⁴ Division of Urology, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Milan, Italy.
⁵ Division of General Surgery, Department of Biomedical and Clinical Sciences, University of Milan, L. Sacco University Hospital, 20157, Milan, Italy.
⁶ Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, University of Milan, IRCCS Policlinico San Donato, Milan, Italy.
⁷ Hernia Center, Vivantes Humboldt Hospital, Academic Teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.

PMID: 38990229
DOI: 10.1007/s10029-024-03098-6

Meta-Analysis

Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis

Alberto Aiolfi et al. Hernia. 2024 Oct.

. 2024 Oct;28(5):1525-1536.

doi: 10.1007/s10029-024-03098-6. Epub 2024 Jul 11.

Affiliations

¹ Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Via C. Belgioioso, 173, Milan, Italy. alberto.aiolfi86@gmail.com.
² Division of General Surgery, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Via C. Belgioioso, 173, Milan, Italy.
³ Division of General Surgery, Department of Surgery, I.R.C.C.S. Ospedale Galeazzi-Sant'Ambrogio, University of Insubria, Milan, Italy.
⁴ Division of Urology, Department of Biomedical Science for Health, I.R.C.C.S. Ospedale Galeazzi - Sant'Ambrogio, University of Milan, Milan, Italy.
⁵ Division of General Surgery, Department of Biomedical and Clinical Sciences, University of Milan, L. Sacco University Hospital, 20157, Milan, Italy.
⁶ Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, University of Milan, IRCCS Policlinico San Donato, Milan, Italy.
⁷ Hernia Center, Vivantes Humboldt Hospital, Academic Teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.

PMID: 38990229
DOI: 10.1007/s10029-024-03098-6

Abstract

Introduction: Traditionally, radical prostatectomy (RP) has been considered a contraindication to minimally invasive inguinal hernia repair. Purpose of this systematic review was to examine the current evidence and outcomes of minimally invasive inguinal hernia repair after RP.

Materials and methods: Web of Science, PubMed, and EMBASE data sets were consulted. Laparoscopic transabdominal preperitoneal repair (TAPP), robotic TAPP (r-TAPP), and totally extraperitoneal (TEP) repair were included.

Results: Overall, 4655 patients (16 studies) undergoing TAPP, r-TAPP, and TEP inguinal hernia repair after RP were included. The age of the patients ranged from 35 to 85 years. Open (49.1%), laparoscopic (7.4%), and robotic (43.5%) RP were described. Primary unilateral hernia repair was detailed in 96.3% of patients while 2.8% of patients were operated for recurrence. The pooled prevalence of intraoperative complication was 0.7% (95% CI 0.2-3.4%). Bladder injury and epigastric vessels bleeding were reported. The pooled prevalence of conversion to open was 0.8% (95% CI 0.3-1.7%). The estimated pooled prevalence of seroma, hematoma, and surgical site infection was 3.2% (95% CI 1.9-5.9%), 1.7% (95% CI 0.9-3.1%), and 0.3% (95% CI = 0.1-0.9%), respectively. The median follow-up was 18 months (range 8-48). The pooled prevalence of hernia recurrence and chronic pain were 1.1% (95% CI 0.1-3.1%) and 1.9% (95% CI 0.9-4.1%), respectively.

Conclusions: Minimally invasive inguinal hernia repair seems feasible, safe, and effective for the treatment of inguinal hernia after RP. Prostatectomy should not be necessarily considered a contraindication to minimally invasive inguinal hernia repair.

Keywords: Complications; Prostatectomy; Recurrence; TAPP; TEP; r-TAPP.

PubMed Disclaimer

Cited by

Is previous radical prostatectomy an adversity for laparoscopic total extraperitoneal approach for inguinal hernia repair? A propensity score case matched study.
Bilgin İA, Ramoglu N, Ozben V, Çebi OH, Argun OB, Doganca TS, Kural AR, Baca B, Hamzaoglu İ, Karahasanoglu T. Bilgin İA, et al. Hernia. 2025 May 23;29(1):173. doi: 10.1007/s10029-025-03363-2. Hernia. 2025. PMID: 40407933 Free PMC article.

References

1. Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189(3):884–890. https://doi.org/10.1016/j.juro.2012.08.241 - DOI - PubMed
1. Majima T, Yoshino Y, Matsukawa Y, Funahashi Y, Sassa N, Kato M, Gotoh M (2018) Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy. J Robot Surg 12(2):277–282. https://doi.org/10.1007/s11701-017-0729-6 - DOI - PubMed
1. Shimbo M, Endo F, Matsushita K, Iwabuchi T, Fujisaki A, Kyono Y, Hishiki K, Muraishi O, Hattori K (2017) Incidence, risk factors and a Novel Prevention technique for Inguinal Hernia after Robot-assisted radical prostatectomy. Urol Int 98(1):54–60. https://doi.org/10.1159/000448339 - DOI - PubMed
1. Alder R, Zetner D, Rosenberg J (2020) Incidence of Inguinal Hernia after Radical Prostatectomy: a systematic review and Meta-analysis. J Urol 203(2):265–274. https://doi.org/10.1097/JU.0000000000000313 - DOI - PubMed
1. Nomura T, Mimata H, Kitamura H, Fujikura Y, Akita Y, Yamasaki M, Nakano D, Tasaki Y, Nomura Y (2005) Lower incidence of inguinal hernia: minilaparotomy radical retropubic prostatectomy compared with conventional technique. A preliminary report. Urol Int 74:32–37 - DOI - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Springer

[1] Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189(3):884–890. https://doi.org/10.1016/j.juro.2012.08.241 - DOI - PubMed

[2] Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189(3):884–890. https://doi.org/10.1016/j.juro.2012.08.241 - DOI - PubMed

[3] Majima T, Yoshino Y, Matsukawa Y, Funahashi Y, Sassa N, Kato M, Gotoh M (2018) Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy. J Robot Surg 12(2):277–282. https://doi.org/10.1007/s11701-017-0729-6 - DOI - PubMed

[4] Majima T, Yoshino Y, Matsukawa Y, Funahashi Y, Sassa N, Kato M, Gotoh M (2018) Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy. J Robot Surg 12(2):277–282. https://doi.org/10.1007/s11701-017-0729-6 - DOI - PubMed

[5] Shimbo M, Endo F, Matsushita K, Iwabuchi T, Fujisaki A, Kyono Y, Hishiki K, Muraishi O, Hattori K (2017) Incidence, risk factors and a Novel Prevention technique for Inguinal Hernia after Robot-assisted radical prostatectomy. Urol Int 98(1):54–60. https://doi.org/10.1159/000448339 - DOI - PubMed

[6] Shimbo M, Endo F, Matsushita K, Iwabuchi T, Fujisaki A, Kyono Y, Hishiki K, Muraishi O, Hattori K (2017) Incidence, risk factors and a Novel Prevention technique for Inguinal Hernia after Robot-assisted radical prostatectomy. Urol Int 98(1):54–60. https://doi.org/10.1159/000448339 - DOI - PubMed

[7] Alder R, Zetner D, Rosenberg J (2020) Incidence of Inguinal Hernia after Radical Prostatectomy: a systematic review and Meta-analysis. J Urol 203(2):265–274. https://doi.org/10.1097/JU.0000000000000313 - DOI - PubMed

[8] Alder R, Zetner D, Rosenberg J (2020) Incidence of Inguinal Hernia after Radical Prostatectomy: a systematic review and Meta-analysis. J Urol 203(2):265–274. https://doi.org/10.1097/JU.0000000000000313 - DOI - PubMed

[9] Nomura T, Mimata H, Kitamura H, Fujikura Y, Akita Y, Yamasaki M, Nakano D, Tasaki Y, Nomura Y (2005) Lower incidence of inguinal hernia: minilaparotomy radical retropubic prostatectomy compared with conventional technique. A preliminary report. Urol Int 74:32–37 - DOI - PubMed

[10] Nomura T, Mimata H, Kitamura H, Fujikura Y, Akita Y, Yamasaki M, Nakano D, Tasaki Y, Nomura Y (2005) Lower incidence of inguinal hernia: minilaparotomy radical retropubic prostatectomy compared with conventional technique. A preliminary report. Urol Int 74:32–37 - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis

Affiliations

Is previous radical prostatectomy a contraindication to minimally invasive inguinal hernia repair? A contemporary meta-analysis

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Related information

LinkOut - more resources

Full Text Sources