Discussion

Dr Michael S. Nussbaum (Roanoke, VA): This excellent review of a prospectively collected hernia database aimed to evaluate the safety, efficacy, and efficiency of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with prior prostatectomy compared with matched controls without prior prostatectomy as well as post prostatectomy patients who underwent open inguinal hernia repair. Although operative duration was longer in the prostatectomy group and there were more peritoneal tears, the length of stay, return to activity, complications, rate of recurrence and chronic pain were equivalent.
Source: Surgery - Category: Surgery Source Type: research