Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy
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 inci...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/457305 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552543790563328 |
|---|---|
| author | Avinash Chennamsetty Jason Hafron Luke Edwards Scott Pew Behdod Poushanchi Jay Hollander Kim A. Killinger Mary P. Coffey Kenneth M. Peters |
| author_facet | Avinash Chennamsetty Jason Hafron Luke Edwards Scott Pew Behdod Poushanchi Jay Hollander Kim A. Killinger Mary P. Coffey Kenneth M. Peters |
| author_sort | Avinash Chennamsetty |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-0361bc953b5e40dea52717fa1a26e0a9 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-0361bc953b5e40dea52717fa1a26e0a92025-02-03T05:58:18ZengWileyAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/457305457305Predictors of Incisional Hernia after Robotic Assisted Radical ProstatectomyAvinash Chennamsetty0Jason Hafron1Luke Edwards2Scott Pew3Behdod Poushanchi4Jay Hollander5Kim A. Killinger6Mary P. Coffey7Kenneth M. Peters8Beaumont Health System, Department of Urology, Royal Oak, MI 48073, USABeaumont Health System, Department of Urology, Royal Oak, MI 48073, USABeaumont Health System, Department of Urology, Royal Oak, MI 48073, USAOakland University William Beaumont School of Medicine, Rochester, MI 48309, USAOakland University William Beaumont School of Medicine, Rochester, MI 48309, USABeaumont Health System, Department of Urology, Royal Oak, MI 48073, USABeaumont Health System, Department of Urology, Royal Oak, MI 48073, USABeaumont Health System, Department of Biostatistics, Research Institute, Royal Oak, MI 48073, USABeaumont Health System, Department of Urology, Royal Oak, MI 48073, USAIntroduction. 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.http://dx.doi.org/10.1155/2015/457305 |
| spellingShingle | Avinash Chennamsetty Jason Hafron Luke Edwards Scott Pew Behdod Poushanchi Jay Hollander Kim A. Killinger Mary P. Coffey Kenneth M. Peters Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy Advances in Urology |
| title | Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy |
| title_full | Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy |
| title_fullStr | Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy |
| title_full_unstemmed | Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy |
| title_short | Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy |
| title_sort | predictors of incisional hernia after robotic assisted radical prostatectomy |
| url | http://dx.doi.org/10.1155/2015/457305 |
| work_keys_str_mv | AT avinashchennamsetty predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT jasonhafron predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT lukeedwards predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT scottpew predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT behdodpoushanchi predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT jayhollander predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT kimakillinger predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT marypcoffey predictorsofincisionalherniaafterroboticassistedradicalprostatectomy AT kennethmpeters predictorsofincisionalherniaafterroboticassistedradicalprostatectomy |