Randomized Trial of Transverse vs Vertical Extraction Site Incision After Robotic Radical Prostatectomy.

ABSTRACT:

Purpose

Incisional hernias are a frequent complication following robotic radical prostatectomy. Observational data in men undergoing robotic prostatectomy suggest that transverse closure resulted in lower hernia rates than vertical closure. We sought to compare the incidence of incisional hernia after robotic radical prostatectomy after vertical and transverse extraction site closure.

Materials and methods

We conducted a clinically integrated, crossover, cluster randomized trial at a single tertiary referral center (January 2016-September 2021) comparing the rate of hernia after transverse vs vertical extraction site excision in 1356 patients treated with minimally invasive radical prostatectomy. The primary outcome was between-group incidence of incisional hernia within 15

SUBMITTER: Gaffney CD 

PROVIDER: S-EPMC11969568 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature