Lateral Port‐Site Hernia Following Robot‐Assisted Radical Prostatectomy: Case Reports and Proposal of a Preventive Technique

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Abstract
Introduction: Port‐site hernia is a rare but serious complication that can occur after robot‐assisted radical prostatectomy and requires surgical repair. Case Presentation: In 2024, we experienced two cases of port‐site hernia after robot‐assisted radical prostatectomy. In response, we developed a preventive technique to reduce the risk of port‐site hernia. Here, we present one of the two cases of port‐site hernia after robot‐assisted radical prostatectomy and a case in which port‐site hernia did not occur after receiving the new preventive technique. We also describe the preventive method currently employed at our institution, where an anti‐adhesion agent is applied to the removal site of a 12‐mm port and closure suture involves fascia without peritoneum. This technique is simple, safe, and applicable to all patients. Conclusion: We developed a new and simple procedure to prevent port‐site hernia based on our experience. Our method may have the potential to effectively prevent its occurrence.

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