Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

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

Nilsson, H. ; Stranne, J. ; Hugosson, J. ; Wessman, C. ; Steineck, Gunnar ; Bjartell, A. LU ; Carlsson, S. LU ; Thorsteinsdottir, T. ; Tyritzis, S. I. and Lantz, A. , et al. (2022) In Hernia 26. p.157-164
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... (More)

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.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Incisional hernia, Inguinal hernia, Radical prostatectomy
in
Hernia
volume
26
pages
157 - 164
publisher
Springer
external identifiers
  • scopus:85083102097
  • pmid:32279170
ISSN
1265-4906
DOI
10.1007/s10029-020-02178-7
language
English
LU publication?
yes
id
43b4eaf2-d144-4202-9cf9-a37fa3897b29
date added to LUP
2020-05-11 16:21:33
date last changed
2024-06-26 15:08:39
@article{43b4eaf2-d144-4202-9cf9-a37fa3897b29,
  abstract     = {{<p>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.</p>}},
  author       = {{Nilsson, H. and Stranne, J. and Hugosson, J. and Wessman, C. and Steineck, Gunnar and Bjartell, A. and Carlsson, S. and Thorsteinsdottir, T. and Tyritzis, S. I. and Lantz, A. and Wiklund, P. and Haglind, E.}},
  issn         = {{1265-4906}},
  keywords     = {{Incisional hernia; Inguinal hernia; Radical prostatectomy}},
  language     = {{eng}},
  pages        = {{157--164}},
  publisher    = {{Springer}},
  series       = {{Hernia}},
  title        = {{Risk of hernia formation after radical prostatectomy : a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial}},
  url          = {{http://dx.doi.org/10.1007/s10029-020-02178-7}},
  doi          = {{10.1007/s10029-020-02178-7}},
  volume       = {{26}},
  year         = {{2022}},
}