Gs. Ferzli et al., HERNIA REPAIR DURING ENDOSCOPIC EXTRAPERITONEAL LYMPH-NODE DISSECTION, Journal of laparoendoscopic & advanced surgical techniques-Part A, 7(3), 1997, pp. 163-165
The objective of this study was to determine whether extraperitoneal l
ymph node dissection for the staging of prostate cancer and extraperit
oneal herniorrhaphy could be performed concomitantly with acceptable o
perative time and morbidity. Sixty patients underwent endoscopic extra
peritoneal lymph node dissection (EEPLND) between 1991 and 1996. Eleve
n of these had 14 hernias repaired with polypropylene mesh. Endoscopic
hernia repair added an average of 15 to 20 minutes to the EEPLND, res
ulting in an average operative time of 127 minutes (range 90 to 182 mi
nutes). There was no difference in postoperative pain between patients
undergoing combined operations and those undergoing EEPLND alone. The
mean hospital stay after either procedure was 48 hours. There were no
complications in the group undergoing herniorrhaphy. We conclude that
extraperitoneal endoscopic hernia repair can be safely performed with
EEPLND when necessary.