Evidence map›Paper›PMID 40668292›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Rectus diastasis is a risk factor for incisional hernia after robot assisted laparoscopic radical prostatectomy for prostate cancer.

Shusaku Honma, Kana Ishikawa, Takashi Kumode, Takahisa Suzuki, Teppei Murakami, Shinichi Hosokawa, Takatsugu Kan, Sanae Nakajima

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shusaku HonmaDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan. shomma74@kuhp.kyoto-u.ac.jp.ORCID 0000-0002-1749-7557
Kana IshikawaDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Takashi KumodeDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Takahisa SuzukiDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Teppei MurakamiDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Shinichi HosokawaDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Takatsugu KanDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.
Sanae NakajimaDepartment of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, 653-0013, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the association between rectus diastasis (RD) and incisional hernia (IH) following robot-assisted laparoscopic radical prostatectomy (RARP).

methodsWe retrospectively reviewed all patients who underwent RARP for prostate cancer at our hospital between January 2017 and December 2023. All participants were required to undergo computed tomography imaging prior to RARP and at least once no less than five months after RARP to assess RD and IH, respectively. RD was defined as a widening of the linea alba exceeding 2 cm. A backward stepwise regression modeling was used to construct a multivariate logistic model. The cumulative incidence of IH was calculated and compared between patients with and without RD using the Kaplan-Meier method.

resultsAmong 145 eligible patients, 45 (31.0%) developed IH. Multivariable logistic regression analysis identified RD (Odds ratio 4.03, 95% confidence interval 1.92-8.48) as an independent risk factor associated with IH after adjusting for pre-existing primary umbilical hernia, body mass index, specimen weight, and surgical site complication. The cumulative incidence of IH was significantly higher in patients with RD than those without.

conclusionRD is a significant risk factor for IH after RARP. Vertical midline incisions at the specimen extraction site should be avoided in patients with RD whenever possible.

Indexed as

Diastasis, MuscleIncisional HerniaLaparoscopyPostoperative ComplicationsProstatectomyProstatic NeoplasmsRectus AbdominisRobotic Surgical ProceduresAgedHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsIncisional herniaRectus diastasisRisk factorRobot assisted laparoscopic radical prostatectomy

Identifiers

PMID40668292

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.