Should incidental inguinal hernias be repaired with prosthetic mesh during RALP?
Peter G Chong and Paul Cozzi*
Correspondence *Urology Sydney, Level 1, St George Private Hospital, 1 South Street, Kogarah, Sydney, NSW 2217, Australia
Email pcozzi@unsw.ed.au
This article has no abstract so we have provided the first paragraph of the full text.
The advent of robotic assistance has seen an increasing number of radical prostatectomies performed in a minimally invasive fashion. The two approaches for RALP approximate the laparoscopic approaches for inguinal hernia repair—the transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repairs.1 The advantages and limitations of the two approaches are similar for both prostatectomy and inguinal hernia repair. The TAPP approach affords familiarity for the laparoscopic surgeon and a shorter learning curve, whereas the TEP approach more closely resembles the open operation but requires balloon dissection of the potential space, which results in smaller working dimensions. In both methods, the final position of the mesh is always preperitoneal. The peritoneal flap in the TAPP technique is meticulously repaired so that no defect in the abdominal wall is left open.
Full text of this article is available with one of the following:
- Personal subscription Purchase your own personal subscription to this journal. Already a subscriber? Please log in for immediate access.
- 7 day single article pass for US$18 In order to purchase this article you must be a registered user. Please register or log in.
- Site licence Learn more about institutional site licences
Current Subscribers
Please log in to access the full text article using the login box at the top of the page.