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Robot Assisted Radical Prostatecomy and Positional Injury

Completed
Conditions
Peripheral Nerve Injuries
Registration Number
NCT02437695
Lead Sponsor
Umraniye Education and Research Hospital
Brief Summary

Although a condition for surgery, robotic interventions applied with steep Trendelenburg-lithotomy (ST-L) position may cause positional injury and peripheral neuropathy if good position is not achieved on the operating table. This study will be a 7-year retrospective examination of postoperative positional injury (PPI) in patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis.

Detailed Description

Patients who underwent RARP between 2008-2014 will be evaluate. Patients with known peripheral neuropathy, lumbar-cervical discopathy, or history of orthopaedic surgery or trauma will exclude. The demographic data of patients, ASA, Charlson Comorbidity Index (CMI), Body Mass Index (BMI), operating time (OT) and Trendelenburg time (TT) will obtain from patient records. Patients will be questioned as to whether or not PPI had developed, if so, in which extremity, in what form (sensory-motor), duration, whether or not a doctor had been consulted, if so, what treatment had been given and whether or not the PPI had continued.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
450
Inclusion Criteria
  • Patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis.
Exclusion Criteria
  • Patients with known peripheral neuropathy,
  • Lumbar-cervical discopathy,
  • History of orthopaedic surgery or
  • Trauma were excluded

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
retrospective examination of postoperative positional injury (PPI) in patients undergoing robot-assisted radical prostatectomy (RARP) for prostate diagnosis7 years

The ST-L position carries high risk in terms of PPI, especially when lengthy surgery is planned and the risk could be increased in patients with high BMI.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Istanbul Umraniye Training Hospital

🇹🇷

Istanbul, Turkey

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