The use of the preperitoneal approach for the simultaneous repair of inguinal hernia during surgery on the bladder and prostate.
Repair of a hernia can be performed safely and expeditiously during a radical pelvic operation by the preperitoneal approach through a median longitudinal incision. We present the results of 41 preperitoneal herniorrhaphies performed simultaneously with 343 radical retropubic prostatectomies and 26 radical cystoprostatectomies. There was no evidence of hernial recurrence after a mean of 28 months and no complications attributable to the hernial repairs. We illustrate the preperitoneal anatomy, and the technique, which allows the safe and efficacious performance of a hernial repair during a urologic procedure.
Schlegel
P N
PN
Walsh
P C
PC
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D011468:Prostatectomy; D001743:Urinary Bladder / Q000601:surgery*