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Published in: Journal of Robotic Surgery 2/2018

01-06-2018 | Original Article

Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy

Authors: Tsuyoshi Majima, Yasushi Yoshino, Yoshihisa Matsukawa, Yasuhito Funahashi, Naoto Sassa, Masashi Kato, Momokazu Gotoh

Published in: Journal of Robotic Surgery | Issue 2/2018

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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.
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Metadata
Title
Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy
Authors
Tsuyoshi Majima
Yasushi Yoshino
Yoshihisa Matsukawa
Yasuhito Funahashi
Naoto Sassa
Masashi Kato
Momokazu Gotoh
Publication date
01-06-2018
Publisher
Springer London
Published in
Journal of Robotic Surgery / Issue 2/2018
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-017-0729-6

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