predictors of incisional hernia after robotic assisted radical prostatectomy
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2015
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Abstract
Introduction. To explore the long term incidence and predictors of incisional hernia in patients that had RARP. Methods. All patients who underwent RARP between 2003 and 2012 were mailed a survey reviewing hernia type, location, and repair. Results. Of 577 patients, 48 (8.3%) had a hernia at an incisional site (35 men had umbilical), diagnosed at (median) 1.2 years after RARP (mean follow-up of 5.05 years). No statistically significant differences were found in preoperative diabetes, smoking, pathological stage, age, intraoperative/postoperative complications, operative time, blood loss, BMI, and drain type between patients with and without incisional hernias. Incisional hernia patients had larger median prostate weight (45 versus 38 grams; P=0.001) and a higher proportion had prior laparoscopic cholecystectomy (12.5% (6/48) versus 4.6% (22/480); P=0.033). Overall, 4% (23/577) of patients underwent surgical repair of 24 incisional hernias, 22 umbilical and 2 other port site hernias. Conclusion. Incisional hernia is a known complication of RARP and may be associated with a larger prostate weight and history of prior laparoscopic cholecystectomy. There is concern about the underreporting of incisional hernia after RARP, as it is a complication often requiring surgical revision and is of significance for patient counseling before surgery.
| Reference Key |
chennamsetty2015advancespredictors
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| Authors | ;Avinash Chennamsetty;Jason Hafron;Luke Edwards;Scott Pew;Behdod Poushanchi;Jay Hollander;Kim A. Killinger;Mary P. Coffey;Kenneth M. Peters |
| Journal | electronic journal of biotechnology |
| Year | 2015 |
| DOI |
10.1155/2015/457305
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| URL | |
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