V09-09 Robotic Femoral Hernia Repair Following Rail (Robot-Assisted Inguinal Lymphadenectomy)

You have accessJournal of UrologyProstate Oncology/Penile & Testis Oncology/Misc. Oncology I (V09)1 May 2024V09-09 ROBOTIC FEMORAL HERNIA REPAIR FOLLOWING RAIL (ROBOT-ASSISTED INGUINAL LYMPHADENECTOMY) Shawn Dason Shawn DasonShawn Dason View All Author Informationhttps://doi.org/10.1097/01.JU.0001009528.33572.9e.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: A defect surrounding the femoral vessels may occur following inguinal lymphadenectomy. Type 1 defects occur due to resection of bulky lymphadenopathy and surrounding soft tissue within the femoral canal. Type 2 defects occur because of a pre-existing hernia within the femoral canal. Femoral defects may result in evisceration or clinical hernias. Limited data are available to guide the management of femoral defects following inguinal lymphadenectomy. METHODS: A video of 2 robotic femoral hernia repairs with vicryl mesh following RAIL was created with iMovie (Apple Inc, Cupertino, CA). RESULTS: The principles of repairing femoral defects following inguinal lymphadenectomy are demonstrated in the video. Both patients were undergoing a RAIL for nodal staging following resection of a T1b primary. Both patients were without clinical hernia recurrence at 3-month follow-up and developed no complications specific to their hernia repair or mesh placement. A series of 6 femoral defects repaired in 4 patients (inclusive of the 2 video cases) is presented. One relevant complication was noted—an open primary femoral defect repair for bulky lymphadenopathy (Type 1) resulted in evisceration requiring abdominal repair with mesh (Clavien-Dindo 3). This was the first case of the series and prompted the surgeon to use mesh in subsequent repairs. CONCLUSIONS: It is important to address femoral defects following inguinal lymphadenectomy. More data on this condition is needed. General principles of femoral hernia repair do not directly translate to this scenario because of the high infection risk following inguinal lymphadenectomy and anatomic approach of RAIL. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e638 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Shawn Dason More articles by this author Expand All Advertisement PDF downloadLoading ...