Risk of hernia formation after radical prostatectomy: a comparison between open and robot-assisted laparoscopic radical prostatectomy within the prospectively controlled LAPPRO trial.
Incisional hernia
Inguinal hernia
Radical prostatectomy
Journal
Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
13
12
2019
accepted:
20
03
2020
pubmed:
13
4
2020
medline:
3
5
2022
entrez:
13
4
2020
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 32279170
doi: 10.1007/s10029-020-02178-7
pii: 10.1007/s10029-020-02178-7
pmc: PMC8881255
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
157-164Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020. The Author(s).
Références
Regan TC, Mordkin RM, Constantinople NL, Spence IJ, Dejter SW Jr (1996) Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 47(4):536–537
doi: 10.1016/S0090-4295(99)80491-9
Lodding P, Bergdahl C, Nyberg M, Pileblad E, Stranne J, Hugosson J (2001) Inguinal hernia after radical retropubic prostatectomy for prostate cancer: a study of incidence and risk factors in comparison to no operation and lymphadenectomy. J Urol 166(3):964–967
doi: 10.1016/S0022-5347(05)65874-0
Stranne J, Lodding P (2011) Inguinal hernia after radical retropubic prostatectomy: risk factors and prevention. Nat Rev Urol 8(5):267–273
doi: 10.1038/nrurol.2011.40
Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189(3):884–890. https://doi.org/10.1016/j.juro.2012.08.241
doi: 10.1016/j.juro.2012.08.241
Nilsson H, Stranne J, Stattin P, Nordin P (2013) Incidence of groin hernia repair after radical prostatectomy: a population-based nationwide study. Ann Surg 259:1223–1227
doi: 10.1097/SLA.0b013e3182975c88
Stranne J, Hugosson J, Lodding P (2007) Inguinal hernia is a common complication in lower midline incision surgery. Hernia 11(3):247–252
doi: 10.1007/s10029-007-0215-6
Stranne J, Johansson E, Nilsson A, Bill-Axelson A, Carlsson S, Holmberg L et al (2010) Inguinal hernia after radical prostatectomy for prostate cancer: results from a randomized setting and a nonrandomized setting. Eur Urol 58(5):719–726
doi: 10.1016/j.eururo.2010.08.006
Fridriksson JO, Folkvaljon Y, Lundstrom KJ, Robinson D, Carlsson S, Stattin P (2017) Long-term adverse effects after retropubic and robot-assisted radical prostatectomy. Nationwide, population-based study. J Surg Oncol. 116(4):500–506
doi: 10.1002/jso.24687
Ku JY, Lee CH, Park WY, Lee NK, Baek SH, Ha HK (2018) The cumulative incidence and risk factors of postoperative inguinal hernia in patients undergoing radical prostatectomy. Int J Clin Oncol 23(4):742–748
doi: 10.1007/s10147-018-1244-0
Carlsson SV, Ehdaie B, Atoria CL, Elkin EB, Eastham JA (2013) Risk of incisional hernia after minimally invasive and open radical prostatectomy. J Urol 190(5):1757–1762
doi: 10.1016/j.juro.2013.05.036
Hermann M, Gustafsson O, Sandblom G (2017) Incidence of incisional hernia after minimally invasive and open radical prostatectomy: a population-based nationwide study. Scand J Urol 51(4):264–268
doi: 10.1080/21681805.2017.1301991
van't Riet M, Steyerberg EW, Nellensteyn J, Bonjer HJ, Jeekel J (2002) Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg 89(11):1350–1356
doi: 10.1046/j.1365-2168.2002.02258.x
Brooks NA, Boland RS, Strigenz ME, Mott SL, Brown JA (2018) Nongenitourinary complications associated with robot-assisted laparoscopic and radical retropubic prostatectomy: a single institution assessment of 1,100 patients over 11 years. Urol Oncol 36(11):e9–e13
doi: 10.1016/j.urolonc.2018.07.017
Nilsson H, Stylianidis G, Haapamaki M, Nilsson E, Nordin P (2007) Mortality after groin hernia surgery. Ann Surg 245(4):656–660
doi: 10.1097/01.sla.0000251364.32698.4b
Nilsson H, Angeras U, Sandblom G, Nordin P (2016) Serious adverse events within 30 days of groin hernia surgery. Hernia 20(3):377–385
doi: 10.1007/s10029-016-1476-8
Thorsteinsdottir T, Stranne J, Carlsson S, Anderberg B, Bjorholt I, Damber JE et al (2011) LAPPRO: a prospective multicentre comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer. Scand J Urol Nephrol 45(2):102–112
doi: 10.3109/00365599.2010.532506
Read RC (1998) Cigarette smoking, herniation, and recurrence. Surgery 124(5):942
doi: 10.1016/S0039-6060(98)70026-1
Hemberg A, Holmberg H, Norberg M, Nordin P (2017) Tobacco use is not associated with groin hernia repair, a population-based study. Hernia 21(4):517–523
doi: 10.1007/s10029-017-1617-8
Rosemar A, Angeras U, Rosengren A, Nordin P (2010) Effect of body mass index on groin hernia surgery. Ann Surg 252(2):397–401
doi: 10.1097/SLA.0b013e3181e985a1
Zendejas B, Hernandez-Irizarry R, Ramirez T, Lohse CM, Grossardt BR, Farley DR (2014) Relationship between body mass index and the incidence of inguinal hernia repairs: a population-based study in Olmsted County, MN. Hernia 18(2):283–288
doi: 10.1007/s10029-013-1185-5
Zou G (2004) A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol 159(7):702–706
doi: 10.1093/aje/kwh090
Bursac Z, Gauss CH, Williams DK, Hosmer DW (2008) Purposeful selection of variables in logistic regression. Source Code Biol Med 3:17
doi: 10.1186/1751-0473-3-17
Ichioka K, Yoshimura K, Utsunomiya N, Ueda N, Matsui Y, Terai A et al (2004) High incidence of inguinal hernia after radical retropubic prostatectomy. Urology 63(2):278–281
doi: 10.1016/j.urology.2003.09.038
Yoshimine S, Miyajima A, Nakagawa K, Ide H, Kikuchi E, Oya M (2010) Extraperitoneal approach induces postoperative inguinal hernia compared with transperitoneal approach after laparoscopic radical prostatectomy. Jpn J Clin Oncol 40(4):349–352
doi: 10.1093/jjco/hyp172
Lepor H, Robbins D (2007) Inguinal hernias in men undergoing open radical retropubic prostatectomy. Urology 70(5):961–964
doi: 10.1016/j.urology.2007.08.038
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560
doi: 10.1136/bmj.327.7414.557
Primatesta P, Goldacre MJ (1996) Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol 25(4):835–839
doi: 10.1093/ije/25.4.835
Haglind E, Carlsson S, Stranne J, Wallerstedt A, Wilderang U, Thorsteinsdottir T et al (2015) Urinary incontinence and erectile dysfunction after robotic versus open radical prostatectomy: a prospective, controlled nonrandomised trial. Eur Urol 68(2):216–225
doi: 10.1016/j.eururo.2015.02.029
Sooriakumaran P, Pini G, Nyberg T, Derogar M, Carlsson S, Stranne J et al (2018) Erectile function and oncologic outcomes following open retropubic and robot-assisted radical prostatectomy: results from the laparoscopic prostatectomy robot open trial. Eur Urol 73(4):618–627
doi: 10.1016/j.eururo.2017.08.015