Soto GM

Language: Spanish
References: 13
Page: 279-282
PDF size: 64.09 Kb.

ABSTRACT

Objective: To present the results obtained by performing retropubic prostatectomy and inguinal hernioplasty with polypropylene mesh in one surgical time.
Setting: Regional Military Hospital of Acapulco, Gro. (Second level health care hospital).
Design: Three-year retrospective, descriptive, and longitudinal study.
Patients and method: We included in the study those patients subjected to retropubic prostatectomy and preperitoneal inguinal hernioplasty in one surgical time. We recorded age, type of hernia, other concomitant diseases, additional surgical time for the prostatectomy performed simultaneously to the preperitoneal inguinal mesh hernioplasty, use of antibiotics, use of drainage and type, transoperative difficulties, postoperative complications, and recurrences of the hernia. Follow-up was performed at 1, 3, and 6 months, and then once a year until completing 3 years.
Results: Fifteen patients were subjected to the surgery; their average age was of 67 years. Twelve patients presented unilateral hernias and three coursed with bilateral ones. Sixteen direct and two indirect hernias were documented. Three patients coursed with morbid obesity, four with diabetes, and two with chronic pneumopathy. The additional surgical time was in average 15 minutes. All patients received antibiotics, and ¼” closed circuit aspiration drainage in the Retzius space for 3 days was used routinely. No relevant transoperative difficulties were encountered. Post-surgical evolution coursed with neither urological nor abdominal wall complications. During the follow-up no recurrences were detected.
Conclusion: It is possible to perform successfully a retropubic prostatectomy and a preperitoneal inguinal hernioplasty with propylene mesh at the same surgical time, requiring a minimal amount of additional time, without urologic or infectious complications and without hernia recurrence.

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