Single Port Laparoscopic Repair of Post Retropubic Radical Prostatectomy Inguinal Hernia Via Previous Operative Scar: Case Series, Initial Experience.

Abstract

Purpose: Inguinal hernia is one of the most common complications of radical prostatectomy which needs surgical repair. Surgical repair of inguinal hernia after prostatectomy cannot be avoid the additional scar on abdominal wall. However, in this study we evaluated the safety and feasibility of the inguinal hernia repair via previous prostatectomy wound without additional scar.Materials and Methods: Total four patients were enrolled who had developed inguinal hernia as a complication of retropubic radical prostatectomy. The repair of inguinal hernia was conducted transperitoneally using home-made glove single port through 2cm incision of the upper part of previous prostatectomy scar. The period between occurrence of inguinal hernia and radical prostatectomy and the operative time were evaluated. The follow-up time, and the complications of inguinal hernia repair were also evaluated.Results: The mean age of 4 patients was 67.25±7.5 and all the patients had no previous history of inguinal hernia. The inguinal hernia developed 4.25±2.63 months after retropubic radical prostatectomy. The mean operative time was 41.25±4.59 minutes. There was no surgical complication and recurrence of inguinal hernia during follow-up.Conclusions: This study showed the safety and feasibility of inguinal hernia repair using home-made glove single port via previous prostatectomy scar.