Abstract
Introduction: The purpose of this article is to contribute information to the interpretation of the feasibility and outcomes regarding open, laparoscopic and robotic strategies of radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair. Materials and methods: A bibliographic search covering the period from January 1980 to September 2012 was conducted in PubMed, MEDLINE and EMBASE. Database searches yielded 28 references. This analysis is based on the eleven studies that fulfilled the predefined criteria. Results: A total of 7,497 patients were included. In the study group, there were 462 patients. The surgical prostatectomy techniques were open in five studies, laparoscopic in three and robotic in the remaining three. The control group consisted in 7,035 patients. The comparison of the open procedure performed in patients with a previous mesh herniorrhaphy and controls shows that the number of lymph nodes removed resulted significantly lower and hospital stay with catheterization time results statistically longer. The comparison of the laparoscopic procedure does not evidence a statistically significant difference in terms of blood loss, operative time and catheterization time, while the comparison with the robotic group could not be performed for the lack of data. Conclusion: All patients need an adequate informed consent regarding the multitude of aspects which may be influenced by the mesh such as the possibility of hernia recurrence, mesh infection, need for mesh explantation, possibility of mesh erosion into the bowel or bladder, bladder neck contractures or postoperative urinary incontinence and a compromised nodal staging.
| Original language | English |
|---|---|
| Pages (from-to) | 59-67 |
| Number of pages | 9 |
| Journal | World Journal of Urology |
| Volume | 33 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Cancer
- Inguinal hernia repair
- Laparoscopy and robotic
- Mesh
- Open
- Prostate
- Radical prostatectomy
ASJC Scopus subject areas
- Urology
- Medicine(all)
Cite this
Feasibility and outcomes regarding open and laparoscopic radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair : meta-analysis and systematic review of 7,497 patients. / Picozzi, Stefano C M; Ricci, Cristian; Bonavina, Luigi; Bona, Davide; Stubinski, Robert; Macchi, Alberto; Ratti, Dario; Finkelberg, Elisabetta; Carmignani, Luca.
In: World Journal of Urology, Vol. 33, No. 1, 2014, p. 59-67.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Feasibility and outcomes regarding open and laparoscopic radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair
T2 - meta-analysis and systematic review of 7,497 patients
AU - Picozzi, Stefano C M
AU - Ricci, Cristian
AU - Bonavina, Luigi
AU - Bona, Davide
AU - Stubinski, Robert
AU - Macchi, Alberto
AU - Ratti, Dario
AU - Finkelberg, Elisabetta
AU - Carmignani, Luca
PY - 2014
Y1 - 2014
N2 - Introduction: The purpose of this article is to contribute information to the interpretation of the feasibility and outcomes regarding open, laparoscopic and robotic strategies of radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair. Materials and methods: A bibliographic search covering the period from January 1980 to September 2012 was conducted in PubMed, MEDLINE and EMBASE. Database searches yielded 28 references. This analysis is based on the eleven studies that fulfilled the predefined criteria. Results: A total of 7,497 patients were included. In the study group, there were 462 patients. The surgical prostatectomy techniques were open in five studies, laparoscopic in three and robotic in the remaining three. The control group consisted in 7,035 patients. The comparison of the open procedure performed in patients with a previous mesh herniorrhaphy and controls shows that the number of lymph nodes removed resulted significantly lower and hospital stay with catheterization time results statistically longer. The comparison of the laparoscopic procedure does not evidence a statistically significant difference in terms of blood loss, operative time and catheterization time, while the comparison with the robotic group could not be performed for the lack of data. Conclusion: All patients need an adequate informed consent regarding the multitude of aspects which may be influenced by the mesh such as the possibility of hernia recurrence, mesh infection, need for mesh explantation, possibility of mesh erosion into the bowel or bladder, bladder neck contractures or postoperative urinary incontinence and a compromised nodal staging.
AB - Introduction: The purpose of this article is to contribute information to the interpretation of the feasibility and outcomes regarding open, laparoscopic and robotic strategies of radical prostatectomy in patients with previous synthetic mesh inguinal hernia repair. Materials and methods: A bibliographic search covering the period from January 1980 to September 2012 was conducted in PubMed, MEDLINE and EMBASE. Database searches yielded 28 references. This analysis is based on the eleven studies that fulfilled the predefined criteria. Results: A total of 7,497 patients were included. In the study group, there were 462 patients. The surgical prostatectomy techniques were open in five studies, laparoscopic in three and robotic in the remaining three. The control group consisted in 7,035 patients. The comparison of the open procedure performed in patients with a previous mesh herniorrhaphy and controls shows that the number of lymph nodes removed resulted significantly lower and hospital stay with catheterization time results statistically longer. The comparison of the laparoscopic procedure does not evidence a statistically significant difference in terms of blood loss, operative time and catheterization time, while the comparison with the robotic group could not be performed for the lack of data. Conclusion: All patients need an adequate informed consent regarding the multitude of aspects which may be influenced by the mesh such as the possibility of hernia recurrence, mesh infection, need for mesh explantation, possibility of mesh erosion into the bowel or bladder, bladder neck contractures or postoperative urinary incontinence and a compromised nodal staging.
KW - Cancer
KW - Inguinal hernia repair
KW - Laparoscopy and robotic
KW - Mesh
KW - Open
KW - Prostate
KW - Radical prostatectomy
UR - http://www.scopus.com/inward/record.url?scp=84920421722&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84920421722&partnerID=8YFLogxK
U2 - 10.1007/s00345-014-1282-9
DO - 10.1007/s00345-014-1282-9
M3 - Article
VL - 33
SP - 59
EP - 67
JO - World Journal of Urology
JF - World Journal of Urology
SN - 0724-4983
IS - 1
ER -