MP61-01 SIMULTANEOUS HERNIA REPAIR FOLLOWING ROBOTIC-ASSISTED RADICAL PROSTATECTOMY IS SAFE WITH LOW RATES OF MESH-RELATED COMPLICATIONS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP61-01 SIMULTANEOUS HERNIA REPAIR FOLLOWING ROBOTIC-ASSISTED RADICAL PROSTATECTOMY IS SAFE WITH LOW RATES OF MESH-RELATED COMPLICATIONS Marcio Covas Moschovas, Jaber Abdel, Travis Rogers, Roshane Pereira, Marco Sandri, Shady Saikali, Shannon Roof, Keila Morales, Carlos Ortiz, and Vipul Patel Marcio Covas MoschovasMarcio Covas Moschovas More articles by this author , Jaber AbdelJaber Abdel More articles by this author , Travis RogersTravis Rogers More articles by this author , Roshane PereiraRoshane Pereira More articles by this author , Marco SandriMarco Sandri More articles by this author , Shady SaikaliShady Saikali More articles by this author , Shannon RoofShannon Roof More articles by this author , Keila MoralesKeila Morales More articles by this author , Carlos OrtizCarlos Ortiz More articles by this author , and Vipul PatelVipul Patel More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003319.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted radical prostatectomy (RARP) is known as the gold-standard treatment for localized prostate cancer in the USA. However, performing RARP concomitant with hernia repair with mesh is debatable, as the current literature is not supported by well-designed or sufficient studies. Some argue that this procedure may result in mesh infections due to possible contact with urine. This study reports our experience with simultaneous hernia repair with mesh placement in patients who underwent radical prostatectomy. METHODS: From August 2008 to August 2021, we prospectively collected the data of 244 patients who underwent RARP with concomitant hernia repair (inguinal, umbilical, and ventral) with mesh placement. After a propensity score match (PS), these patients were retrospectively compared with with 244 patients from 6275 RARPs operated on during the same period without hernia repair. We report the preoperative demography and perioperative outcomes up to 90 days after the surgery. RESULTS: Median follow-up was 36.6 months for the control and hernia groups, respectively (p=0.81). Eighty-three patients had unilateral inguinal hernia repair, 22 had a bilateral inguinal hernia repair, 95 had a ventral hernia repair, and 44 had an umbilical hernia repair. The median operative time was 112 min for the control group and 160 min for the hernia groups (p<0.001). Estimated median blood loss was 100mL and 50mL for the control and hernia groups, respectively (p=0.41). We did not find statistically significant differences in minor complications (Clavien≤2). Although the postoperative readmissions within 90-days were higher in the hernia group (18 vs.7, p=0.038), none were associated with mesh complications. CONCLUSIONS: Robotic-assisted radical prostatectomy with concomitant hernia repair and mesh placement is safe and does not increase complications related to the mesh. In our experience, hernia repair increases the operative time, usually due to initial peritoneal flap dissection and final suturing. Therefore, we believe that hernia repair with mesh during RARP is safe and spares patients the additional impacts related to an additional surgical procedure. Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e852 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcio Covas Moschovas More articles by this author Jaber Abdel More articles by this author Travis Rogers More articles by this author Roshane Pereira More articles by this author Marco Sandri More articles by this author Shady Saikali More articles by this author Shannon Roof More articles by this author Keila Morales More articles by this author Carlos Ortiz More articles by this author Vipul Patel More articles by this author Expand All Advertisement PDF downloadLoading ...