Scholarlink

<p>Patients who undergo robot-assisted radical prostatectomy for localized prostate cancer occasionally develop inguinal hernias. The current study aimed to examine the efficacy of a surgical technique in preventing postoperative inguinal hernia (PIH). In total, 596 patients underwent robot-assisted radical prostatectomy at our institution. Data on the characteristics of the patients, perioperative factors, surgical outcomes, and the incidence of PIH were reviewed. The patients were divided into those who underwent hernia prevention procedures (prevention group) and those who did not (non-prevention group). A retrospective analysis was conducted to evaluate the risk factors of PIH. Of the 596 patients, 426 (71%) were in the prevention group, while 170 (29%) were in the non-prevention group. The overall median age of the patients was 69 years, and their median body mass index was 23.7&#xa0;kg/m<sup>2</sup>. PIH occurred in 10 (2.3%) patients in the prevention group and 13 (7.6%) in the non-prevention group. The median time to PIH was 9 (range: 3–36) months. The prevention group had a significantly lower incidence of PIH than the non-prevention group (<i>P</i> = 0.004). Based on a multivariate analysis, hernia prevention procedure was an independent factor linked to a reduced risk of PIH (hazard ratio: 0.39, 95% confidence interval: 0.17–0.92, <i>P</i> = 0.03). The incidence of PIH significantly decreased with the use of hernia prevention techniques. Thus, our surgical technique may reduce the risk of PIH. Surgical techniques for preventing postoperative inguinal hernia after robot-assisted radical prostatectomy are presented.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Efficacy of preventive techniques against postoperative inguinal hernia in patients who underwent robot-assisted radical prostatectomy for Japanese patients

  • 期刊论文

  • 发表日期：

    2025年11月1日

查看全文
  • Satoshi Fukata,
  • Syo Shimasaki,
  • Erika Yamashita,
  • Yoshitaka Kurano,
  • Ryu Shigehisa,
  • Kaya Atagi,
  • Daigo Takemori,
  • Shinkuro Yamamoto,
  • Hiroto Osakabe,
  • Tomoya Nao,
  • Tsutomu Shimamoto,
  • Hideo Fukuhara,
  • Nobutaka Shimizu,
  • Shingo Ashida,
  • Takashi Karashima,
  • Keiji Inoue

摘要

Patients who undergo robot-assisted radical prostatectomy for localized prostate cancer occasionally develop inguinal hernias. The current study aimed to examine the efficacy of a surgical technique in preventing postoperative inguinal hernia (PIH). In total, 596 patients underwent robot-assisted radical prostatectomy at our institution. Data on the characteristics of the patients, perioperative factors, surgical outcomes, and the incidence of PIH were reviewed. The patients were divided into those who underwent hernia prevention procedures (prevention group) and those who did not (non-prevention group). A retrospective analysis was conducted to evaluate the risk factors of PIH. Of the 596 patients, 426 (71%) were in the prevention group, while 170 (29%) were in the non-prevention group. The overall median age of the patients was 69 years, and their median body mass index was 23.7 kg/m2. PIH occurred in 10 (2.3%) patients in the prevention group and 13 (7.6%) in the non-prevention group. The median time to PIH was 9 (range: 3–36) months. The prevention group had a significantly lower incidence of PIH than the non-prevention group (P = 0.004). Based on a multivariate analysis, hernia prevention procedure was an independent factor linked to a reduced risk of PIH (hazard ratio: 0.39, 95% confidence interval: 0.17–0.92, P = 0.03). The incidence of PIH significantly decreased with the use of hernia prevention techniques. Thus, our surgical technique may reduce the risk of PIH. Surgical techniques for preventing postoperative inguinal hernia after robot-assisted radical prostatectomy are presented.