Preperitoneal inguinal hernia repair during pelvic surgery

Arch Esp Urol. 2002 Mar;55(2):217-20.


Objectives: We report our experience with posterior preperitoneal prosthetic herniorrhaphy for inguinal hernia in patients undergoing concomitant pelvic surgery for both benign and malignant urological pathologies.

Methods: 116 patients with either unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic herniorrhaphy during a pelvic operation for various urological pathologies. The technique described by Mahorner and Goss was used for unilateral hernia, while the modified Stoppa technique was used for bilateral hernia.

Results: All patients had a complication-free peri- and post-operative course, except for one patient who developed a spontaneously resolving small peri-prosthetic hematoma. In the follow-up of all patients (mean 35.7 months, range 4-72) we did not observe any hernia recurrence.

Conclusions: Posterior preperitoneal prosthetic inguinal herniorrhaphy during pelvic surgery for urological pathologies is a relatively simple and safe procedure to perform and a recurrence rate of zero, or very close to zero, is to be expected.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Follow-Up Studies
  • Hernia, Inguinal / surgery*
  • Humans
  • Male
  • Middle Aged
  • Pelvis / surgery
  • Peritoneum