Concurrent repair of inguinal hernias with mesh application during transperitoneal robotic-assisted radical prostatectomy: Is it safe?

  The repair of inguinal hernias during Robot-assisted laparoscopic radical prostatectomy (RARP) has been published in several studies, which have demonstrated its effectiveness and safety . Overall, it has been observed that the hernioplasty adds on an average, 12–15 min in total surgical time . No significant difference was found between RARP with or without concomitant hernioplasty, with respect to hospitalization or bleeding complications . This procedure can be performed both robotically or laparoscopically depending on patient and surgeon preference. The two methods used for the hernia repair are total extraperitoneal screen placement (TEP), as well as preperitoneal transabdominal screen insertion (TAPP). As well as for concurrent cesarean section and hernia repair, repair of inguinal hernias during transperitoneal robotic-assisted radical prostatectomy performed in one session, avoids need for readmission to hospital, is safe, effective, and well accepted. It neither increases the complication rate nor prolongs the hospital stay, with clear advantages for both the patients and the hospital budget.