Presented by: Tunkut Doganca MD
Acibadem Taksim Hospital, Urology

Introduction

Minimally invasive techniques are gradually being used for surgical treatment of prostate cancer. However, the incisional hernia development after these techniques are yet to be evaluated. In this study, we compared 3 different organ retrieval site for the risk of incisional hernia development following robot assisted laparoscopic radical prostatectomy.

Materials

Between January 2020 and May 2021, 149 patients were enrolled for the study. In the first,second and third group, organs were retrieved through supraumbilical, right abdominal (through the assistant port) and Pfannenstiel incisions respectively. Patients were grouped according to the penultimate number of the social security numbers. In the postoperative period, the area where the organ was removed was evaluated by ultrasonography. Valsalva maneuver was applied during the ultrasonographic examination.

Results

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We observed hernia in 20 patients. The frequency of hernia development for operations with different incision locations are as follows: Supraumbilical 9/49, Assistant port 10/49, Pfannenstiel: 1/51

Conclusion

Hernia development is significantly associated with incision location, we see that it is lower for pfannenstiel incision compared to supraumbilical and assistant port incision. We did not observe any other factor associated with hernia development.

Funding

None

Co-Authors

Omer Burak Argun, MD, Assoc. Prof.
Acibadem University, School of Medicine, Urology

Mustafa Bilal Tuna, MD
Acibadem Maslak Hospital

Ilter Tufek, MD, Prof.
Acibadem University, School of Medicine, Urology

Can Obek, MD, Prof.
Acibadem University, School of Medicine, Urology

Ali Riza Kural, MD, Prof.
Acibadem University, School of Medicine, Urology