Does hernia mesh exclude da Vinci?

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mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 12/8/2008 1:02 PM (GMT -6)   
 
Hi again,
 
I've been doing more reading and from what I can see, nerve sparing da Vinci looks like a possible option. The London Health Sciences Centre, LHSC (London, Ontario...near me) appears to have considerable experience...2 surgeons in particular. I believe they are made up of most of London's hospitals, including research, and are a very large teaching hospital network associated with UWO.
 
I haven't, as yet, found much info on their da Vinci successes (or otherwise). One gentleman responded to an earlier post that has was satisfied with this procedure there.
 
1) How many out there have had this procedure? Info or comments on successes/problems?
2) I have a hernia mesh, left groin. Will that affect this as a possible option?
 
Again, grateful for any comments.
 
Mikey
 
PS:
 
Present Status: 5 of 8 biopsies positive for adenocarcinoma, December 3/08, both lobes.
Present Status: Tumour in lower right and upper right lobe.
Present Status: Tumour in lower left and central left lobe.
Present Status: Gleason Score 3+3
Present Status: Cancer 40%-75% on samples...don't have exact details yet...but will soon.
Present Status: recommended radical prostrate removal, open surgery.
Present Status: PSA 5.3 Nov 2007, PSA 7.3 June 2008.
Present Status: Married to beautiful wife for long time. Started going out 36 years ago.
Present Status: 3 great grown kids, one at home to finish college.
Present Status: Becoming 95% Scared Stupid (an improvement).


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 12/8/2008 1:08 PM (GMT -6)   
Yes, It may.
 


hky1
New Member


Date Joined Mar 2008
Total Posts : 2
   Posted 12/8/2008 6:06 PM (GMT -6)   
I had a hernia mesh and because of that and a previous bladder surgery when young, the surgeon said there was a 50% chance he would have to abort the operation (da-vinci). The open presented the same risks. This was even after a CT scan of area. I ended up having a perineal prostectomy. Perineal worth looking into if you can find someone who still does a lot of them. Hope this helps.

Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 12/8/2008 8:12 PM (GMT -6)   
Hey, Mikey

I had gut surgery in 1996 and told my surgeon about it, and he replied that he just wouldn't know until he got inside. He said that scar tissue over the years may tend to soften up. But if not , then he would opt for the open procedure. Sounds good to me, Doc.
After all, getting this stuff out of me is quite important.
Good luck.
Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


ups4
Regular Member


Date Joined Nov 2008
Total Posts : 20
   Posted 12/8/2008 8:24 PM (GMT -6)   

I had a mesh hernia repair in 2002, and told my urologist about it before my da Vinci surgery, which was 10/07.

He said it wouldn't be a problem in my particular case and the surgery was completed successfully and without incident.

I suppose it's a case by case situation confused .

 

Paul


Paul in Sunrise, FL
Diagnosed 7/07 age 52, 53 now.
PSA 2.5-3.5 at diagnosis.
Biopsy proved positive.
Davinci surgery 10/07.
All nerve bundles/lymph nodes spared.
Continence returned by 12/07.
ED getting better everyday w/Viagra.
PSA's post surgery all <.01.
Dr. Daniel Ead, Urologist in Plantation FL


Ken S
Regular Member


Date Joined Nov 2006
Total Posts : 120
   Posted 12/8/2008 9:47 PM (GMT -6)   
Mikey,

I too had an inguinal hernia in my left groin repaired 11 months before having my RRP. Both my surgeries were traditional (not laparoscopic) and maybe that makes a difference. My Uro never spoke of a potential problem.

Ken
Age 54 (2006)
PSA: 2005 - 3.2, 2006 - 3.7
Biopsy 8/06, Gleason 6 (3+3), T1c
Radical Retropubic Prostatectomy 11/3/06
Memorial Hospital, Pawtucket, RI
Post-Op Biopsy, Gleason 6 (3+3), T2c,
right apical margin positive
CT Scan 1/07, tumor discovered on right
kidney (unrelated to PCa)
Partial Nephrectomy 3/9/07
R.I. Hospital, Providence, RI
IMRT (37 Treatments) 4/23/07 - 6/14/07
PSA: 11/08 - 0.03


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 12/8/2008 10:21 PM (GMT -6)   
I had an inguinal hernia mesh repair about 5 years ago. My surgeon said because of the CT Scans and ultrasounds that there could be a problem. He had me sign a consent that if the daVinci couldn't do the job, he would do an open. But there was no problem and all was done via the daVinci.
Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4823
   Posted 12/9/2008 5:54 AM (GMT -6)   
I have  hernia mesh right above my belly button....My surgeon went above it to make his cut and then went underneath it without issue.

Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 

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