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Numerous Hernia's after robat Surgery

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Prostate Cancer
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Rock50
Regular Member
Joined : Nov 2006
Posts : 264
Posted 1/29/2007 5:31 PM (GMT -8)
I just had a Hernia fixed 2 weeks ago which was at one of the sites where they inserted one of the probes during my Robotic Surgery.  Tonight another one has Ruptured at another probe site.  Does anybody know if they sew these sites up after the probes are removed.  It looks like I am going to have to have each one fixed.  Between the Prostate operation and the last Hernia operation I am worn out and getting very depressed. 

Any iformation is helpful.

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spinbiscuit
Veteran Member
Joined : Apr 2006
Posts : 818
Posted 1/29/2007 5:53 PM (GMT -8)
Hi Rock50,

I also had (2) Hernias surgeries; right & left inguenials after my daVinci procesdure. Didn't we discus this awhile back? My surgeries were about 2 months appart, and the last one took me about 4 weeks to recover from. I still get a little sore at the surgical sight, but nothing serious. Like you I thought I'd spent the entire year in the OR.

I certainly hope your hernias were not as painful as mine. In both cases the pain became so severe I could barely walk for more than a minute or two. The right inguenial hernia was the worst, and I was off my feet for more than a week prior to surgery.

You might ask the surgeon that is doing your hernia procedures what his recommendations are regarding the remaining probe sites. This may not be a common occurrence following the daVinci procedure, but I don't think we are the only ones either.

Glen
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Rock50
Regular Member
Joined : Nov 2006
Posts : 264
Posted 1/29/2007 6:43 PM (GMT -8)
Glen,

Mine are directly at the site where the probe was inserted were yours. Surely to god they stitched these up when the probes were removed. Wellmine was done at a Va by to Residents so no telling.

Thanks
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SJC
Regular Member
Joined : Jul 2006
Posts : 113
Posted 1/30/2007 3:58 AM (GMT -8)
The Winter 2007 newsletter published by the Brady Urological Institute at Johns Hopkins had an article about hernias following prostatectomy.  Below is the link to the article. 

http://urology.jhu.edu/newsletter/prostate_cancer_discovery_926.php

 

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spinbiscuit
Veteran Member
Joined : Apr 2006
Posts : 818
Posted 1/30/2007 7:06 AM (GMT -8)
Hi Rock50,

Both of mine were 3-4 inches lower than the probe scares. All of the incisions were stitched except the one small one (half inch) that the drain tube exited. When the tube was removed the doctor just put surgical tape over it. All of my incisions healed quickly with not a hint of trouble.

I have a theory that if a pre-existing weakness in the abdominal wall is agrivated by the daVinci procedure; it will result in a hernia, or in my case and yours 2 hernias. I am going to read the info from the JH's site that SJC has kindly provided us.

Glen

ps. I just read the article on "Post RRP and hernias" While it did not address daVinci surgery I would guess the same risks apply. In fact the daVinci procedure involves the inflation of the abdominal cavity to increase the surgeon's visability. Maybe it is the reason that a weakness in the abdominal wall quickly becomes a hernia. It might be possible that even a small incision opening could fail, and become a hernia.

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dawgfan
Regular Member
Joined : Aug 2006
Posts : 148
Posted 1/30/2007 7:22 AM (GMT -8)
My surgeon mentioned that he puts a single stich in each port hole. He had been advised by a general surgeon in the past to leave them open, but when a patient developed a hernia he went back to closing them up.

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lawink
Veteran Member
Joined : Oct 2006
Posts : 621
Posted 1/30/2007 7:31 AM (GMT -8)
One other "tidbit" in the hernia scenario is that I'm thinking the dr. knows what he's talking about when he says do nothing for 6 - 8 weeks and don't lift more than a milk jug. Bob took that advice to heart and then eased back into his regular routine and now doesn't hesitate to strain or lift and has been 100%.
;o)
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spinbiscuit
Veteran Member
Joined : Apr 2006
Posts : 818
Posted 1/30/2007 7:46 AM (GMT -8)
Hi lawink,

That is a very, very important caution. Unfortunately for me I didn't heed the warning completely, but I do have an excuse.
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