Cannula Site Insertion Technique Prevents Incisional Hernia in Laparoscopic Fundoplication

Mahmoud, Hatim; Ustuner, Evren H.; Sozener, Ulas; Öziş, Salih Erpulat; Türkçapar, Ahmet Gökhan

doi:10.1097/sle.0b013e31806dbad4

Cited by 24 publications

(12 citation statements)

References 23 publications

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“… 10 , 11 Para-median incisions have also been shown in Level 2 general surgery studies not to require fascial closure when blunt trocars are used ( Table 4 ) . 12 – 17 The arcuate line may also demarcate an inherent weakness of the abdominal fascia. It is the place where the fascia of the internal oblique and the transversus abdominus of the posterior rectus sheath migrate to join the anterior sheath, leaving only the transversalis fascia and peritoneum for closure support deep to the rectus muscle ( Figures 2 and 3 ) .…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic 5-mm Trocar Site Herniation and Literature Review

Yamamoto¹,

Minikel²,

Zaritsky³

2011

JSLS

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Section: Resultsmentioning

confidence: 99%

Laparoscopic 5-mm Trocar Site Herniation and Literature Review

Yamamoto¹,

Minikel²,

Zaritsky³

2011

JSLS

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“…Some studies suggest there may be a greater incidence of herniation in the midline ports rather than off-midline ports 5,8,39 ; however, others suggest this is not the case but rather larger diameter ports and extraction of the gallbladder are more likely to occur at the midline ports. 2,12 …”

Section: Resultsmentioning

confidence: 99%

Port-Site Hernia Following Laparoscopic Cholecystectomy

Bunting¹

2010

JSLS

107

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“…5 The incidence is estimated to be between 0.65% and 2.8%. 2,[6][7][8][9][10][11] It is pertinent to note that the true incidence may be much higher because patients who are asymptomatic may not seek medical attention unless an extended follow-up protocol has been established. In addition, subfascial hernias could be missed during the clinical examination because follow-up does not include routine imaging.…”

Section: Definition Incidence and Predisposing Factorsmentioning

confidence: 99%

“…In addition, subfascial hernias could be missed during the clinical examination because follow-up does not include routine imaging. 5,6 Although PSH appears uncommon, it could precipitate the downstream complication of hernia incarceration or strangulation requiring emergent surgical intervention. 2 Furthermore, 20% of repaired PSHs tend to recur, imposing significant financial burden on patients.…”

Section: Definition Incidence and Predisposing Factorsmentioning

confidence: 99%

Laparoscopic Port-Site Hernia: An Underrecognized Iatrogenic Complication of Laparoscopic Surgery

Alwis

Ades

Nanayakkara

2021

Obstetrical &Amp; Gynecological Survey

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Importance: Port-site hernia is an iatrogenic complication with a documented incidence between 0.65% and 2.8%. However, the true incidence could be higher because of delayed onset, asymptomatic nature, and loss to follow-up. Port-site hernia could be further complicated by incarceration or strangulation leading to small bowel obstruction requiring emergent surgical intervention, thus imposing significant financial and emotional burden to patients.Objective: This article aims to provide a summary of the available literature concerning port-site hernia and explore preventive strategies for future clinical practice.Evidence Acquisition: This review was formulated through electronic literature searches in Ovid MEDLINE, Embase, and Cochrane Central Register of Controlled Trials. The reference lists of the included studies were hand searched to identify other relevant articles to capture all available literature in this narrative review.Results: Following screening for eligibility based on relevance to the topic under consideration, 28 studies were identified. This included 5 original articles, 1 case series, and 22 review articles, including 4 systematic reviews. Included studies were critically appraised in formulating this review.Conclusions: Port-site hernia is an underrecognized yet preventable complication with careful consideration of predisposing technical and host factors, thorough attention to surgical technique, or use of a fascial closure device.Relevance: With the widespread and increasing use of laparoscopic methods to treat surgical pathologies, knowledge of this complication is imperative to encourage prevention strategies and facilitate early recognition and management should it occur.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, physicians should be better able to define and differentiate the types of port-site hernia; describe technical and host factors that predispose to the development of port-site hernia; identify potential complications of port-site hernia; and apply technical and prosthetic strategies to prevent port-site hernia in the future.All authors, faculty, and staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations relevant to this educational activity.Contribution of authorship: D.D. performed the literature review, wrote the first draft, and made amendments to the article as per A.A. and P.N. A.A. reviewed the article. P.N. proposed the idea, wrote an outline, reviewed and edited the article, and approved the final version for publishing.

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Cannula Site Insertion Technique Prevents Incisional Hernia in Laparoscopic Fundoplication

Abstract: Trocar-site hernia is a rare complication of laparoscopy. It occurs at the trocar insertion site with a diameter of 10 mm or more in adult patients. Trocar insertion away from the midline can decline the incidence.

Cited by 24 publications

References 23 publications

Laparoscopic 5-mm Trocar Site Herniation and Literature Review

Laparoscopic 5-mm Trocar Site Herniation and Literature Review

Port-Site Hernia Following Laparoscopic Cholecystectomy

Laparoscopic Port-Site Hernia: An Underrecognized Iatrogenic Complication of Laparoscopic Surgery

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