Scientific publications

Bilateral subgaleal hematoma after a robot-assisted radical prostatectomy: an uncommon complication

Aug 31, 2023 | Magazine: Anales del Sistema Sanitario de Navarra

Iñigo Rubio Baines  1 , Antonio Martínez Simón  2 , Francisco Javier Ancizu  3 , Isidro Olavide  4 , Cristina Honorato-Cía  5


Robot-assisted radical prostatectomy is a relatively recent technique. Its advantages include less invasiveness and better pain management, but has specific anesthesia requirements, such as steep Trendelenburg position and pneumoperitoneum. Mild complications are common, e.g., transient hypotension or soft tissue edema.

We present a case of a 62-year old male who developed subgaleal hematoma associated with transient neurologic impairment after surgery. Jugular vein insufficiency was suspected as the most likely cause. The patient recovered fully.

Robot-assisted radical prostatectomy can be a challenging procedure due to the anesthesia requirements, but most complications are mild and transient. However, patients should be carefully assessed before surgery. We identified potential factors that may have led to this complication: the abnormal prolonged surgical time, the steep Trendelenburg, a non-assessed jugular vein insufficiency, and/or patient`s obesity.

CITATION  An Sist Sanit Navar. 2023 Aug 31;46(2):e1047.  doi: 10.23938/ASSN.1047