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Concurrent Hernia Repair with Gynecologic or Urologic Surgery? Pros and Cons

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The SAGES Manual of Hernia Surgery

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Abstract

The feasibility and safety of concurrent hernia repair with gynecologic and urologic surgery have been well-described in the literature over the past six decades using a variety of approaches including open, laparoscopic, and robotic. Simultaneous inguinal herniorrhaphy performed at the time of prostatectomy and Cesarean section are the two most commonly performed concurrent procedures in the United States today. In this chapter, the benefits of concurrent hernia repair at the time of gynecologic/urologic surgery as well as the potential complications including wound/mesh infection rates, hernia recurrence, and postoperative pain will be discussed in detail. Finally, our technique for concurrent herniorrhaphy at the time of gynecologic/urologic procedures will also be described.

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References

  1. Kjærgaard J, Bay-Nielsen M, Kehlet H. Mortality following emergency groin hernia surgery in Denmark. Hernia. 2010;14(4):351–5.

    Article  Google Scholar 

  2. Antunes AA, et al. Inguinal hernia repair with polypropylene mesh during radical retropubic prostatectomy: an easy and practical approach. BJU Int. 2005;96(3):330–3.

    Article  Google Scholar 

  3. Abi-Haidar Y, Sanchez V, Itani KM. Risk factors and outcomes of acute versus elective groin hernia surgery. J Am Coll Surg. 2011;213(3):363–9.

    Article  Google Scholar 

  4. McDonald DF, Huggins C. Simultaneous prostatectomy and inguinal herniorrhaphy. Surg Gynecol Obstet. 1949;89(5):621.

    CAS  PubMed  Google Scholar 

  5. Annandale T. Case in which a reducible oblique and direct inguinal and femoral hernia existed on the same side and were successfully treated by operation. Edinb Med J. 1876;21:1087–91.

    PubMed  PubMed Central  Google Scholar 

  6. Riba LW, Mehn WH. Combined inguinal hernia repair and retropubic prostatectomy. Q Bull Northwestern University Med School. 1951;25(1):62.

    Google Scholar 

  7. Nyhus LM, Condon RE, Harkins HN. Clinical experiences with preperitoneal hernia repair for all types of hernia of the groin: with particular reference to the importance of transversalis fascia analogues. Am J Surg. 1960;100(2):234–44.

    Article  CAS  Google Scholar 

  8. Nyhus LM. Posterior hernia repair and prostatic operations. Arch Surg. 1972;104(1):17.

    Article  CAS  Google Scholar 

  9. Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin N Am. 1984;64(2):269–85.

    Article  CAS  Google Scholar 

  10. Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, Stassen LP, Vente JP, Weidema WF, Schrijvers AJ, van Vroonhoven TJ. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med. 1997;336(22):1541–7.

    Article  CAS  Google Scholar 

  11. Lee BC, Rodin DM, Shah KK, Dahl DM. Laparoscopic inguinal hernia repair during laparoscopic radical prostatectomy. BJU Int. 2007;99(3):637–9.

    Article  Google Scholar 

  12. Regan TC, Mordkin RM, Constantinople NL, Spence IJ, Dejter SW. Incidence of inguinal hernias following radical retropubic prostatectomy. Urology. 1996;47(4):536–7.

    Article  CAS  Google Scholar 

  13. Nielsen ME, Walsh PC. Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. Urology. 2005;66(5):1034–7.

    Article  Google Scholar 

  14. Schlegel PN, Walsh PC. Simultaneous preperitoneal hernia repair during radical pelvic surgery. J Urol. 1987;137(6):1180–3.

    Article  CAS  Google Scholar 

  15. Choi BB, Steckel J, Denoto G, Vaughan ED, Schlegel PN. Preperitoneal prosthetic mesh hernioplasty during radical retropubic prostatectomy. J Urol. 1999;161(3):840–3.

    Article  CAS  Google Scholar 

  16. Drachenberg DE, Bell DG. Preperitoneal mesh-plug herniorrhaphy during radical retropubic prostatectomy. Can J Urol. 2002;9(4):1602–6.

    PubMed  Google Scholar 

  17. Stolzenburg JU, Rabenalt R, Dietel A, Do M, Pfeiffer H, Schwalbe S, Dorschner W. Hernia repair during endoscopic (laparoscopic) radical prostatectomy. J Laparoendosc Adv Surg Tech A. 2003;13(1):27–31.

    Article  Google Scholar 

  18. Finley DS, Rodriguez E, Ahlering TE. Combined inguinal hernia repair with prosthetic mesh during transperitoneal robot assisted laparoscopic radical prostatectomy: a 4-year experience. J Urol. 2007;178(4):1296–300.

    Article  Google Scholar 

  19. Kelly ME, Behrman SW, Deitch EA, Fabian TC. The safety and efficacy of prosthetic hernia repair in clean-contaminated and contaminated wounds/discussion. Am Surg. 2002;68(6):524–8.

    PubMed  Google Scholar 

  20. Carbonell AM, Criss CN, Cobb WS, Novitsky YW, Rosen MJ. Outcomes of synthetic mesh in contaminated ventral hernia repairs. J Am Coll Surg. 2013;217(6):991–8.

    Article  Google Scholar 

  21. Gözen AS, Tokas T, Akin Y, Atis G, Hruza M, Rassweiler J. Pain after hernia repair with simultaneous extraperitoneal laparoscopic radical prostatectomy. J Endourol. 2014;28(9):1143–8.

    Article  Google Scholar 

  22. Kessler HJ. Hernias in pregnancy. In: HRK B, Graber EA, editors. Surgical disease in pregnancy. Philadelphia: WB Saunders; 1974. p. 161–8.

    Google Scholar 

  23. Altchek A, Rudick J. Preperitoneal herniorrhaphy: adjunct to cesarean section. Obstet Gynecol. 1987;70(3 Pt 2):470–1.

    CAS  PubMed  Google Scholar 

  24. Ochsenbein-Kölble N, Demartines N, Ochsenbein-Imhof N, Zimmermann R. Cesarean section and simultaneous hernia repair. Arch Surg. 2004;139(8):893–5.

    Article  Google Scholar 

  25. Gabriele R, Conte M, Izzo L, Basso L. Cesarean section and hernia repair: simultaneous approach. J Obstet Gynaecol Res. 2010;36(5):944–9.

    Article  Google Scholar 

  26. Wadhwa A, Chowbey PK, Sharma A, Khullar R, Soni V, Baijal M. Combined procedures in laparoscopic surgery. Surg Laparosc Endosc Percutan Tech. 2003;13(6):382–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Weill Cornell Medical College, New York, NY, USA

    Michael Choi & Cheguevara Afaneh

Authors
  1. Michael Choi
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  2. Cheguevara Afaneh
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Correspondence to Michael Choi .

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Editors and Affiliations

  1. Emory University, Atlanta, GA, USA

    S. Scott Davis, Jr.

  2. Weill Med College At Cornell University, New York, NY, USA

    Gregory Dakin

  3. Stony Brook Surgical Associates, Centereach, NY, USA

    Andrew Bates

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© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Choi, M., Afaneh, C. (2019). Concurrent Hernia Repair with Gynecologic or Urologic Surgery? Pros and Cons. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_48

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  • DOI: https://doi.org/10.1007/978-3-319-78411-3_48

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78410-6

  • Online ISBN: 978-3-319-78411-3

  • eBook Packages: MedicineMedicine (R0)

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