Simultaneous robotic assisted laparoscopic prostatectomy (RALP) and inguinal herniorrhaphy (IHR): proof-of-concept analysis from a high-volume center

AbstractPurposeInguinal hernia (IH) is detected in approximately 33% of RALP ’s either pre or intraoperatively wherein all are repaired during RALP to circumvent future herniorrhaphy (Fukuta et al., Urology 68(2):267–271, 2006; Nielsen, Urology 66(5):1034–1037, 2005). Some debate this policy by quoting the potential risk of mesh lying close to the vesicourethral anasto mosis leading to infections and adhesions. The current study was initiated to elucidate the feasibility and outcomes of simultaneous inguinal herniorrhaphy (IHR) during RALP.MethodsHistoric analysis of prospectively maintained data of 1224 RALP patients, as per inclusion criteria, between 2012 and 2017 was done, among whom 143 patients had a concurrent IHR using 3DmaxTM polypropylene monofilament mesh. Patients were then compared for demographics, peri-operative features, and outcomes.ResultsThe mean age and AUA score were significantly different (p 
Source: Hernia - Category: Sports Medicine Source Type: research

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CONCLUSIONS: Angiomyxoma is a rare, benign and locally aggressive tumor, which can infiltrate locally and present unusually as perineal hernia. Due to its rarity and lack of specific diagnostic requirements, it's difficult to diagnose preoperatively KEY WORDS: Angiomyxoma, Obturator hernia, Pelvic mass. PMID: 31723050 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
Groin hernia repair is the most common elective operation performed worldwide with over 20 million operations per year[1]. The rate of hernia surgery varies from 10 per 10000 people in the United Kingdom to 28 per 10000 people in the United States[2]. Around 5% –15% of hernia patients have incarceration, of which approximately 15% of cases may evolve into bowel necrosis requiring bowel resection[3]. Patients with bowel necrosis have a significantly longer hospitalization and a higher postoperative complications, which varied from 6% to 43%[4–7], with a mortality rate of 1%–7%[4,6].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Conclusion Inguinal herniation of the transplant ureter leading to ureteral obstruction is a rare, probably underreported, cause graft of dysfunction. Therefore, we advocate elective repair of inguinal or incisional hernias in renal transplant recipients. PMID: 31690216 [PubMed - as supplied by publisher]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
CONCLUSIONS: Ovarian inguinal hernias should be considered among the differential diagnoses of a groin mass or swelling. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance. PMID: 31696731 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
Conditions:   Ventral Hernia;   Umbilical Hernia;   Epigastric Hernia Intervention:   Procedure: Ventral Hernia Repair Sponsor:   The Cleveland Clinic Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionWe strongly recommend employing a combined laparoscopic and thoracoscopic approach for an emergency repair of a tension gastrothorax in a hemodynamically stable patient as, it poses all the advantages of minimal access surgery and is available, at smaller centres, even in an emergency.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionsRobotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
CONCLUSION: For the comparison of surgical techniques and outcomes, prospective randomized studies should be designed to standardize broad-based surgical techniques. PMID: 31701494 [PubMed - in process]
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - Category: Emergency Medicine Authors: Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
CONCLUSION: Although, the patch itself has tendency to make a dome formation when placed intra-abdominally, a composite polypropylene and ePTFE hernia patch has better outcomes if placed precisely with minimal extra-peritoneal and extensive intra-peritoneal dissection. We assume that inadequate liberation of omental attachments around the defect enhances the prior reported failures of the product. KEY WORDS: Composite mesh, Hernia, Ventralex patch. PMID: 31661438 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
CONCLUSIONLaparoscopic plug removal for nociceptive pain due to a plug meshoma is effective. However, since there is insufficient evidence to recommend mesh removal without triple neurectomy, informed consent and further consideration of techniques and diagnostic methods are needed.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
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