Incisional hernias following robotic-assisted laparoscopic prostatectomy: does the extraction site matter?

被引:2
|
作者
Zukiwskyj, Marianna [1 ]
Nicol, Alice [1 ]
Heathcote, Peter [2 ]
机构
[1] Princess Alexandra Hosp, Ipswich Rd, Woolloongabba, Qld 4102, Australia
[2] Greenslopes Hosp, Newdegate St, Greenslopes, Qld 4121, Australia
关键词
Hernia; Incisional hernia; Prostatectomy; Robot surgery; Prostatic neoplasms; RISK;
D O I
10.1007/s11701-023-01816-3
中图分类号
R61 [外科手术学];
学科分类号
摘要
The incidence of incisional hernia (IH) following robotic-assisted laparoscopic prostatectomy (RALP) varies widely within the literature (0.4-9.7%). Whilst small hernias may go unnoticed, the potential exists for bowel strangulation and subsequent emergency surgery. We suggest that the extraction site may influence the rate of IH. A retrospective chart review of a single surgeon RALP series was undertaken. One hundred charts were sampled, of which 69 had sufficient data to be analysed. Prior to July 2017, specimen extraction had been via the supra-umbilical port site. After this time, specimens were extracted via a Pfannenstiel incision. Of the 69 patients, 24 underwent RALP prior to July 2017. Three patients developed IH at the supra-umbilical port extended for extraction site in the pre-2017 group and three patients developed IH at the supra-umbilical port (not extraction) site in the post-2017 group. The rate of IH was almost double in the pre-July 2017 group (12.5% vs. 6.7%). No patient developed an incisional hernia at the Pfannenstiel site in the post-2017 group. In our series, no patient developed a hernia at the Pfannenstiel site. This is in keeping with the reported < 1% IH rate following Pfannenstiel specimen extraction. Given that incisional hernias are a known complication of robotic surgery, thought should be given to changing the site of specimen extraction site to lower the rate of incisional hernias and the morbidity associated with such.
引用
收藏
页数:4
相关论文
共 50 条
  • [1] LAPAROSCOPIC MANAGEMENT OF INCISIONAL HERNIAS AT THE SITE OF EXTRACTION AFTER ROBOTIC PROSTATECTOMY
    Sotelo, Rene
    Giedelman, Camilo
    Saavedra, Jose
    Arriaga, Juan
    De Andrade, Robert
    Carmona, Oswaldo
    Garza, Roberto
    Parra, Eduardo
    Canes, David
    JOURNAL OF ENDOUROLOGY, 2011, 25 : A311 - A311
  • [2] The prevention of extraction site incisional hernia after robotic-assisted radical prostatectomy
    David P. Feng
    Amy N. Luckenbaugh
    Zuliang Feng
    Sam S. Chang
    Joseph A. Smith
    David F. Penson
    Daniel A. Barocas
    Journal of Robotic Surgery, 2021, 15 : 315 - 317
  • [3] The prevention of extraction site incisional hernia after robotic-assisted radical prostatectomy
    Feng, David P.
    Luckenbaugh, Amy N.
    Feng, Zuliang
    Chang, Sam S.
    Smith, Joseph A.
    Penson, David F.
    Barocas, Daniel A.
    JOURNAL OF ROBOTIC SURGERY, 2021, 15 (02) : 315 - 317
  • [4] Robotic-assisted laparoscopic prostatectomy
    Sharma, N. L.
    Shah, N. C.
    Neal, D. E.
    BRITISH JOURNAL OF CANCER, 2009, 101 (09) : 1491 - 1496
  • [5] Robotic-assisted laparoscopic prostatectomy
    N L Sharma
    N C Shah
    D E Neal
    British Journal of Cancer, 2009, 101 : 1491 - 1496
  • [6] Inguinal hernias in robotic-assisted laparoscopic radical prostatectomy: A surgeon's experience
    Wu, Jungle Chi-Hsiang
    Ou, Yen-Chuan
    Wu, Hurng-Sheng
    Cheng, Chen-Li
    Yang, Chi-Rei
    Lin, Mao-Sheng
    FORMOSAN JOURNAL OF SURGERY, 2011, 44 (04) : 141 - 145
  • [7] Longitudinal urgency outcomes following robotic-assisted laparoscopic prostatectomy
    Kennady, Emmett H. H.
    Zillioux, Jacqueline
    Ali, Marwan
    Hutchison, Dylan
    Farhi, Jacques
    DeNovio, Anthony
    Barquin, David
    Rapp, David E. E.
    WORLD JOURNAL OF UROLOGY, 2023, 41 (07) : 1885 - 1889
  • [8] Predictors of urinary outcomes following robotic-assisted laparoscopic prostatectomy
    Hutchison, Dylan
    Zillioux, Jacqueline
    Ali, Marwan
    Farhi, Jacques
    Denovio, Anthony
    Barquin, David
    Rapp, David E.
    BJUI COMPASS, 2023, 4 (06): : 722 - 728
  • [9] Longitudinal urgency outcomes following robotic-assisted laparoscopic prostatectomy
    Emmett H. Kennady
    Jacqueline Zillioux
    Marwan Ali
    Dylan Hutchison
    Jacques Farhi
    Anthony DeNovio
    David Barquin
    David E. Rapp
    World Journal of Urology, 2023, 41 : 1885 - 1889
  • [10] Outpatient robotic-assisted laparoscopic prostatectomy
    Lee, DI
    Lee, JT
    Shepherd, D
    Abrahams, HM
    JOURNAL OF UROLOGY, 2005, 173 (04): : 322 - 322