The report of N. C. Shah in this issue of the Archives has been read with interest. There have been a number of reports suggesting the concomitant repair of inguinal hernias and prostatectomy. In 1949, McDonald and Huggins1 found that the anterior hernial repair plus prostatectomy constituted a practical procedure. Riba and Mehn2 should be credited with the first dual procedure from the preperitoneal or extraperitoneal approach. The subject has reached such acceptance that a book has been published reviewing the entire problem.3
Certainly, the inguinal area can be well visualized by the vertical lower abdominal midline incision. However, the very real problem of incisional hernia following this approach (Cheatle,4 Henry5) made us abandon this incision in favor of the lateral to rectus approach of McEvedy.6 The latter approach would be impractical for use in the combined hernia-prostatectomy operation.
Most reports of this combined