Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy.
J Robot Surg
; 12(2): 277-282, 2018 Jun.
Article
in En
| MEDLINE
| ID: mdl-28721635
ABSTRACT
To determine causative factors for de novo inguinal hernia (IH), after robot-assisted radical prostatectomy (RARP). This was a retrospective, single-center study, which included patients undergoing RARP for prostate cancer at our institution, from February 2012 to January 2015. Cox proportional hazards models were used to determine the relationships between de novo IH and various factors. A total of 284 patients were included in the analysis. Forty-two (14.7%) patients developed IH at a median period of 8 months after RARP. On multivariate analysis, preoperative international prostate symptom score question 6 > 2, and a patent processus vaginalis were significantly correlated with de novo IH (hazard ratio (HR) 4.17, 95% confidence interval (CI) 2.07-8.37, p < 0.001; HR 3.67, 95% CI 2.36-5.69, p < 0.001). Preoperative urinary straining and a patent processus vaginalis were predictive of de novo IH after RARP.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostatectomy
/
Robotic Surgical Procedures
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Incisional Hernia
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Hernia, Inguinal
Type of study:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Aged
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Humans
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Male
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Middle aged
Language:
En
Journal:
J Robot Surg
Year:
2018
Document type:
Article
Affiliation country:
Japan