Source: Journal of Robotic Surgery, Volume 1, Number 4 / February, 2008
Conclusion
Urological surgeons should be encouraged to perform a thorough inguinal exam during preoperative evaluation and intraoperatively to detect subclinical hernias. Inguinal herniorrhaphy done concurrently at the time of RALP is safe, with no added morbidity and should be routinely performed.
This is a paper Dr. Ahlering and I wrote which is a review of our results and techniques of fixing hernias during dvP.
Since conferring with Dr Ahlering on this paper, I have changed my technique to resemble his more.
The main point of the article is that hernias are common and it is beneficial for patients to have them fixed.