Concurrent Hernia Repair with Gynecologic or Urologic Surgery? Pros and Cons
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The feasibility and safety of concurrent hernia repair with gynecologic and urologic surgery have been well-described in the literature over the past six decades using a variety of approaches including open, laparoscopic, and robotic. Simultaneous inguinal herniorrhaphy performed at the time of prostatectomy and Cesarean section are the two most commonly performed concurrent procedures in the United States today. In this chapter, the benefits of concurrent hernia repair at the time of gynecologic/urologic surgery as well as the potential complications including wound/mesh infection rates, hernia recurrence, and postoperative pain will be discussed in detail. Finally, our technique for concurrent herniorrhaphy at the time of gynecologic/urologic procedures will also be described.
KeywordsConcurrent hernia repair Urologic surgery Herniorrhaphy Preperitoneal herniorrhaphy Gynecologic surgery
- 6.Riba LW, Mehn WH. Combined inguinal hernia repair and retropubic prostatectomy. Q Bull Northwestern University Med School. 1951;25(1):62.Google Scholar
- 10.Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, Stassen LP, Vente JP, Weidema WF, Schrijvers AJ, van Vroonhoven TJ. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med. 1997;336(22):1541–7.CrossRefGoogle Scholar
- 22.Kessler HJ. Hernias in pregnancy. In: HRK B, Graber EA, editors. Surgical disease in pregnancy. Philadelphia: WB Saunders; 1974. p. 161–8.Google Scholar