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

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

Methods: We 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.

Risk stratification of residual abscess after surgical treatment for gastroduodenal perforation.

Aims: Residual abscess is a major complication after emergency surgery for gastroduodenal (GD) perforation. However, there is little evidence regarding potential risk factors contributing to its development. Establishing a risk stratification strategy would be valuable for the entire management process.

Surgeons' involvement in COVID-19 treatment: a practice by a regional core hospital in Japan to avoid physician burnout.

Background: To prevent task accumulation on certain divisions, our institution developed a unique system of allocating inpatient treatment of COVID-19 patients to doctors who were not specialized in respiratory infections. The objective of this study was to investigate whether surgeons can be involved in the COVID-19 inpatient treatment without negatively affecting patient outcome, and how such involvement can affect the wellbeing of surgeons.

Methods: There were 300 patients diagnosed with COVID-19 and hospitalized from January to June 2021, and 160 of them were treated by the redeployed doctors.

Enhanced-view totally extraperitoneal repair in a patient with incisional hernia after robot-assisted laparoscopic radical prostatectomy: a case report.

Background: Although laparoscopic incisional hernia repair, especially laparoscopic intraperitoneal onlay mesh, is a widely used technique, it can cause serious complications, including mesh erosion, adhesive bowel obstruction, and chronic pain. The enhanced-view totally extraperitoneal (eTEP) technique has been reported to prevent such complications by placing the mesh in the retrorectus space. Here, we report the case of a patient with post-robot-assisted laparoscopic radical prostatectomy (RARP) incisional hernia repaired using the eTEP technique.