Lateral single incision laparoscopic totally extraperitoneal hernioplasty (L-SILTEP) after laparoscopic radical prostatectomy: A rare case report with literature review

Medicine (Baltimore). 2023 Aug 11;102(32):e34543. doi: 10.1097/MD.0000000000034543.

Abstract

Introduction: Single-incision laparoscopic totally extraperitoneal hernioplasty is a commonly used surgical procedure for the treatment of inguinal hernia. However, it is difficult to use traditional single incision laparoscopic totally extraperitoneal hernioplasty to treat inguinal hernia after laparoscopic radical prostatectomy. We successfully and smoothly cured a patient with left inguinal hernia after laparoscopic radical prostatectomy using lateral single incision laparoscopic totally extraperitoneal hernioplasty.

Case presentation: We report the case of a 70-year-old man who underwent laparoscopic radical prostatectomy 2 years earlier and had an evanescent mass in the left inguinal region for 1 month.

Diagnosis: On the basis of preoperative abdominal computed tomography and intraoperative findings, the patient was diagnosed with a left indirect inguinal hernia, and post-laparoscopic radical prostatectomy.

Interventions: The patient underwent lateral single incision laparoscopic totally extraperitoneal hernioplasty.

Outcomes: The patient recovered well after the operation, and there were no postoperative complications or recurrence of inguinal hernia 3 months after the operation.

Conclusion: For patients who have undergone laparoscopic radical prostatectomy, lateral single-incision laparoscopic totally extraperitoneal hernioplastycan be performed.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Aged
  • Hernia, Inguinal* / complications
  • Hernia, Inguinal* / surgery
  • Herniorrhaphy / methods
  • Humans
  • Laparoscopy* / methods
  • Male
  • Prostatectomy / methods
  • Surgical Wound* / complications
  • Treatment Outcome