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Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial

Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial


Title: Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial
Author: Nilsson, H.
Stranne, J.
Hugosson, J.
Wessman, C.
Steineck, G.
Bjartell, A.
Carlsson, S.
Thorsteinsdottir, T.
Tyritzis, S. I.
Lantz, A.
... 2 more authors Show all authors
Date: 2020-04-11
Language: English
Scope:
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Office of Division of Clinical Services I
Faculty of Nursing and Midwifery
Series: Hernia; ()
ISSN: 1265-4906
DOI: https://doi.org/10.1007/s10029-020-02178-7
Subject: Incisional hernia; Inguinal hernia; Radical prostatectomy; Blöðruhálskirtill; Skurðlækningar; Prostatectomy; Hernia; Incisional hernia; Inguinal hernia; Radical prostatectomy; Blöðruhálskirtill; Skurðlækningar; Prostatectomy; Hernia; Surgery
URI: https://hdl.handle.net/20.500.11815/3438

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Citation:

Nilsson , H , Stranne , J , Hugosson , J , Wessman , C , Steineck , G , Bjartell , A , Carlsson , S , Thorsteinsdottir , T , Tyritzis , S I , Lantz , A , Wiklund , P & Haglind , E 2020 , ' Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial ' , Hernia . https://doi.org/10.1007/s10029-020-02178-7

Abstract:

Purpose: In addition to incisional hernia, inguinal hernia is a recognized complication to radical retropubic prostatectomy. To compare the risk of developing inguinal and incisional hernias after open radical prostatectomy compared to robot-assisted laparoscopic prostatectomy. Method: Patients planned for prostatectomy were enrolled in the prospective, controlled LAPPRO trial between September 2008 and November 2011 at 14 hospitals in Sweden. Information regarding patient characteristics, operative techniques and occurrence of postoperative inguinal and incisional hernia were retrieved using six clinical record forms and four validated questionnaires. Results: 3447 patients operated with radical prostatectomy were analyzed. Within 24 months, 262 patients developed an inguinal hernia, 189 (7.3%) after robot-assisted laparoscopic prostatectomy and 73 (8.4%) after open radical prostatectomy. The relative risk of having an inguinal hernia after robot-assisted laparoscopic prostatectomy was 18% lower compared to open radical retropubic prostatectomy, a non-significant difference. Risk factors for developing an inguinal hernia after prostatectomy were increased age, low BMI and previous hernia repair. The incidence of incisional hernia was low regardless of surgical technique. Limitations are the non-randomised setting. Conclusions: We found no difference in incidence of inguinal hernia after open retropubic and robot-assisted laparoscopic radical prostatectomy. The low incidence of incisional hernia after both procedures did not allow for statistical analysis. Risk factors for developing an inguinal hernia after prostatectomy were increased age and BMI.

Description:

Open access funding provided by University of Gothenburg. This study was supported by research grants from the Swedish Cancer Society (2008/922, 2010/593, 2013/497, 2016/362), The Swedish Research Council (2012-1770. 2015-02483), Region Västra Götaland, Sahlgrenska University Hospital (ALFBGB Grants 13875, 146201, 4307771, 773521; HTA–VGR 6011; agreement concerning research and the education of doctors), the Mrs. Mary von Sydow Foundation, and the Anna and Edvin Berger Foundation as well as the Swedish Society of Medicine (award number: SLS-784551). Publisher Copyright: © 2020, Springer-Verlag France SAS, part of Springer Nature.

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