Andrew Fuller1, Alfonso Fernandez, Stephen E Pautler. 1. Division of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada.
Abstract
BACKGROUND AND PURPOSE: The incidence of incisional hernia after robot-assisted radical prostatectomy (RARP) has not been described previously. We report our prospective data in an attempt to identify factors that may predispose to this important complication. PATIENTS AND METHODS: The information contained in our prospectively collected RARP database was used to assess the incidence and predisposing factors for incisional hernia post-RARP in a single surgeon series of 250 patients. RESULTS: The incidence of incisional hernia in our series was 4.8% (12 of 250 patients). Statistical analysis demonstrated a higher rate of incisional hernias in patients for whom the supraumbilical incision for specimen retrieval was closed with a continuous, rather than interrupted suture. Incisional hernia is associated with a significantly longer length of hospital stay. CONCLUSION: Urologists should be aware that incisional hernia is an important postoperative complication after RARP. Closure of linea alba with a nonabsorbable suture using an interrupted technique may help to minimize the incidence of this morbid complication.
BACKGROUND AND PURPOSE: The incidence of incisional hernia after robot-assisted radical prostatectomy (RARP) has not been described previously. We report our prospective data in an attempt to identify factors that may predispose to this important complication. PATIENTS AND METHODS: The information contained in our prospectively collected RARP database was used to assess the incidence and predisposing factors for incisional hernia post-RARP in a single surgeon series of 250 patients. RESULTS: The incidence of incisional hernia in our series was 4.8% (12 of 250 patients). Statistical analysis demonstrated a higher rate of incisional hernias in patients for whom the supraumbilical incision for specimen retrieval was closed with a continuous, rather than interrupted suture. Incisional hernia is associated with a significantly longer length of hospital stay. CONCLUSION: Urologists should be aware that incisional hernia is an important postoperative complication after RARP. Closure of linea alba with a nonabsorbable suture using an interrupted technique may help to minimize the incidence of this morbid complication.
Authors: Avinash Chennamsetty; Jason Hafron; Luke Edwards; Scott Pew; Behdod Poushanchi; Jay Hollander; Kim A Killinger; Mary P Coffey; Kenneth M Peters Journal: Adv Urol Date: 2015-02-02