PMID- 37241052
OWN - NLM
STAT- MEDLINE
DCOM- 20230529
LR  - 20230530
IS  - 1648-9144 (Electronic)
IS  - 1010-660X (Print)
IS  - 1010-660X (Linking)
VI  - 59
IP  - 5
DP  - 2023 Apr 22
TI  - Simultaneous Inguinal Hernia Repair with Monofilament Polypropylene Mesh during 
      Robot-Assisted Radical Prostatectomy: Results from a Single Institute Series.
LID - 10.3390/medicina59050820 [doi]
LID - 820
AB  - Background and Objectives: Inguinal hernia (IH) is a usual finding in men with 
      prostate cancer (PCa) due to their similar risk factors, such as age, gender, and 
      smoking. This study aims to present a single institution's experience with 
      simultaneous IH repair (IHR) and robotic-assisted radical prostatectomy (RARP). 
      Materials and Methods: We retrospectively reviewed 452 patients who underwent 
      RARP between January 2018 and December 2020. A total of 73 patients had a 
      concomitant IHR with a monofilament polypropylene mesh. Patients with bowel in 
      the hernia sac or recurrent hernia were excluded. Results: The median age and the 
      American Society of Anesthesiologists (ASA) score were 67 years (inter-quartile 
      range (IQR) 56-77) and 2 (IQR 1-3), respectively. The median prostate volume and 
      preoperative prostate-specific antigen (PSA) were 38 mL (IQR 25.0-75.2) and 7.8 
      ng/mL (IQR 2.6-23.0), respectively. The surgery was successfully performed in all 
      cases. The median overall and IHR operative time were 190.0 (IQR 140.0-230.0) and 
      32.5 (IQR 14.0-40.0) minutes, respectively. The median estimated blood loss and 
      length of hospital stay were 100 mL (IQR 10-170) and 3 days (IQR 2-4), 
      respectively. Only five (6.8%) minor complications occurred after surgery. At the 
      24-month follow-up, no cases of mesh infection, seroma formation, or groin pain 
      were recorded. Conclusions: This study confirmed the safety and efficacy of 
      performing simultaneous RARP and IHR.
FAU - Chiacchio, Giuseppe
AU  - Chiacchio G
AUID- ORCID: 0000-0002-8821-8201
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Beltrami, Mattia
AU  - Beltrami M
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Cicconofri, Andrea
AU  - Cicconofri A
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Nedbal, Carlotta
AU  - Nedbal C
AUID- ORCID: 0000-0003-2031-347X
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Pitoni, Lucia
AU  - Pitoni L
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Fuligni, Demetra
AU  - Fuligni D
AUID- ORCID: 0000-0002-4234-0690
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Maggi, Martina
AU  - Maggi M
AUID- ORCID: 0000-0003-4672-850X
AD  - Department of Maternal Infant and Urologic Sciences, Sapienza University of Rome, 
      Policlinico Umberto I Hospital, 00161 Rome, Italy.
FAU - Milanese, Giulio
AU  - Milanese G
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Galosi, Andrea Benedetto
AU  - Galosi AB
AUID- ORCID: 0000-0001-8313-5338
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Castellani, Daniele
AU  - Castellani D
AUID- ORCID: 0000-0001-7354-9190
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
FAU - Giulioni, Carlo
AU  - Giulioni C
AUID- ORCID: 0000-0001-9934-4011
AD  - Urology Unit, Faculty of Medicine, School of Urology, Azienda Ospedaliera 
      Universitaria Delle Marche, 60127 Ancona, Italy.
LA  - eng
PT  - Journal Article
DEP - 20230422
PL  - Switzerland
TA  - Medicina (Kaunas)
JT  - Medicina (Kaunas, Lithuania)
JID - 9425208
RN  - 0 (Polypropylenes)
SB  - IM
MH  - Male
MH  - Humans
MH  - Aged
MH  - Prostate
MH  - *Robotic Surgical Procedures/adverse effects/methods
MH  - Polypropylenes
MH  - *Hernia, Inguinal/surgery/complications
MH  - Retrospective Studies
MH  - Surgical Mesh/adverse effects
MH  - *Robotics
MH  - Prostatectomy/adverse effects/methods
MH  - *Prostatic Neoplasms/surgery/complications
MH  - *Laparoscopy/adverse effects
PMC - PMC10222079
OTO - NOTNLM
OT  - complications
OT  - inguinal hernia
OT  - inguinal hernia repair
OT  - prostate cancer
OT  - robot-assisted prostatectomy
OT  - robotic surgery
OT  - uro-oncology
COIS- The authors declare no conflict of interest.
EDAT- 2023/05/27 09:43
MHDA- 2023/05/29 06:41
PMCR- 2023/04/22
CRDT- 2023/05/27 01:20
PHST- 2023/03/29 00:00 [received]
PHST- 2023/04/18 00:00 [revised]
PHST- 2023/04/20 00:00 [accepted]
PHST- 2023/05/29 06:41 [medline]
PHST- 2023/05/27 09:43 [pubmed]
PHST- 2023/05/27 01:20 [entrez]
PHST- 2023/04/22 00:00 [pmc-release]
AID - medicina59050820 [pii]
AID - medicina-59-00820 [pii]
AID - 10.3390/medicina59050820 [doi]
PST - epublish
SO  - Medicina (Kaunas). 2023 Apr 22;59(5):820. doi: 10.3390/medicina59050820.