Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22794
Title: Are we failing to consent to an increasingly common complication? Incisional hernias at robotic prostatectomy.
Authors: Timm, Brennan;O'Connor, Ellen;Bolton, Damien M;Liodakis, Peter
Affiliation: Department of Urology, Austin Health, Heidelberg, Victoria, Australia
North Eastern Urology, Heidelberg, Victoria, Australia
Issue Date: 9-Mar-2020
EDate: 2020-03-09
Citation: Journal of robotic surgery 2020; online first: 9 March
Abstract: The use of robot-assisted laparoscopic radical prostatectomy (RALP) continues to increase in the management of prostate cancer by minimally invasive approach, with shorter convalescence, reduced blood transfusion and improving oncological outcomes when compared to open surgery. There is a growing evidence base that RALP is significantly associated with incisional hernia (IH) at the specimen extraction site compared to open surgery. A series of 186 RALP patients between August 2012 and August 2018 was reviewed, where 1-7 years follow-up had been observed. The study endpoint was IH rate at the supraumbilical specimen extraction site utilized by the surgeon. Incisional hernia rate at specimen extraction site was 8.6% and incidental 1.1% IH rate at a lateral port site (not associated with specimen removal). Average age at operation was 60.9 years old and hernias were diagnosed at a mean of 11.8 months post-surgery. Common demographics in the population suffering from IH were previous abdominal surgery, adhesiolysis, history of smoking and obesity. Supraumbilical extraction site hernias are an underreported complication of RALP which may impact on quality of life and prompt further surgical correction. Patients should be asked for consent regarding the possibility of this complication ensuing.
URI: http://ahro.austin.org.au/austinjspui/handle/1/22794
DOI: 10.1007/s11701-020-01063-w
ORCID: 0000-0002-5145-6783
PubMed URL: 32152901
Type: Journal Article
Subjects: Consent
Incisional hernia
Prostate cancer
RALP
RARP
Appears in Collections:Journal articles

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