Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study

Abstract

After long-term follow-up, the incidence of TSH following LC was higher than expected. The insertion of large trocars at the umbilical site plays a key role in the development of TSH. Other conditions such as obesity and large gallstones can be additional risk factors since the umbilical defect must often be widened in these cases.

Robotic single-site cholecystectomy in the obese: outcomes from a single institution

“…Marks et al showed a hernia rate of 8.4% after single incision LC, our most concerning potential complication [17]. Our incisional hernia rate is much lower than that in the reported literature for single incision LC [18][19][20][21][22]. Obesity has been shown to be an independent risk factor for both surgical site infection and incisional umbilical hernia formation [6,8,23].…”

Trocar site hernia after laparoscopic sleeve gastrectomy using a specific open laparoscopy technique

“…Furthermore, the study by Sauerland et al, of various types of hernia surgery, found that the recurrence rate was 2 to 3 times higher in obese patients (BMI 4 30) than in nonobese patients [21]. Erdas et al [22] showed that obesity was the major risk factor for TSH after cholecystectomy with an odds ratio of 29. Evaluation of TSH in this series was performed clinically and then by ultrasound when TSH was suspected.…”

Dynamic ultrasound with postural change facilitated the detection of an incisional hernia in a case with negative MRI findings

“…Moreover, her history indicated a late-onset type hernia, usually deriving from dehiscence of the anterior fascial and posterior fascial plane with intact peritoneum [2]. Since the role of CT in diagnosing asymptomatic late-onset type hernias has not been established [2,13], our case demonstrated a diagnostic protocol comprising dynamic ultrasound and posture change might be a more cost-effective and sensitive approach to survey this type of hernia. Most of all, the investigator can use ultrasound to check whether the hernia sac is reductable in real time, and arranges early surgical intervention once incarceration hernia is suspected.…”