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Advances in Urology - Volume 2015 2015, Article ID 457305, 7 pages -

Research Article

Beaumont Health System, Department of Urology, Royal Oak, MI 48073, USA

Oakland University William Beaumont School of Medicine, Rochester, MI 48309, USA

Beaumont Health System, Department of Biostatistics, Research Institute, Royal Oak, MI 48073, USA

Received 17 September 2014; Revised 18 December 2014; Accepted 12 January 2015

Academic Editor: Maxwell V. Meng

Copyright © 2015 Avinash Chennamsetty et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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; and a higher proportion had prior laparoscopic cholecystectomy 12.5% 6-48 versus 4.6% 22-480; . 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.

Autor: Avinash Chennamsetty, Jason Hafron, Luke Edwards, Scott Pew, Behdod Poushanchi, Jay Hollander, Kim A. Killinger, Mary P. Co



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