Inguinal hernia developed after radical retropubic surgery for prostate cancer.
10.4174/jkss.2013.85.4.175
- Author:
Choon Sik CHUNG
1
;
Gyu Young JEONG
;
Seung Han KIM
;
Dong Keun LEE
Author Information
1. Department of Surgery, Hansol Hospital, Seoul, Korea. drcschung@hanmail.net
- Publication Type:Original Article
- Keywords:
Prostate neoplasms;
Prostatectomy;
Inguinal hernia;
Recurrence
- MeSH:
Hernia;
Hernia, Inguinal;
Humans;
Laparoscopy;
Length of Stay;
Operative Time;
Prostate;
Prostatectomy;
Prostatic Neoplasms;
Recurrence;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2013;85(4):175-179
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: In this retrospective study, we aimed to compare the clinical characteristics of inguinal hernia developed after radical retropubic surgery for prostate cancer to the hernia without previous radical prostatectomy. METHODS: Twenty-three patients (group A) who had radical retropubic surgery for prostate cancer underwent laparoscopic or open tension-free inguinal hernia repair from March 2007 to February 2011. Nine hundred and forty patients (group B) without previous radical retropubic surgery received laparoscopic or tension-free open hernia operation. RESULTS: Group A was older than group B (mean +/- standard deviation, 69.6 +/- 7.2 vs. 54.1 +/- 16.1; P < 0.001). Right side (73.9%) and indirect type (91.3%) in group A were more prevalent than in group B (51.5% and 69.4%, respectively) with statistic significance (P = 0.020 and P = 0.023). The rate of laparoscopic surgery in group B (n = 862, 91.7%) was higher than in group A (n = 14, 64.3%, P < 0.001). In comparing perioperative variables between the two groups, operative time (49.4 +/- 23.5 minutes) and hospital stay (1.9 +/- 0.7 days) in group A were longer than in group B (38.9 +/- 16.9, 1.1 +/- 0.2; P = 0.046 and P < 0.001, respectively) and pain score at 7 days in group A was higher than in group B (3.1 +/- 0.7 vs. 2.3 +/- 1.0, P < 0.001). Postoperative recurrence rate was not significantly different between the two groups. CONCLUSION: Inguinal hernia following radical retropubic surgery for prostate cancer was predominantly right side and indirect type with statistic significance compared to hernias without previous radical prostatectomy.
