Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study

Ciscar, Ana; Badia, Josep M.; Novell, Francesc; Bolivar, Santiago; Mans, E.

doi:10.1186/s12893-020-01000-6

Cited by 20 publications

(26 citation statements)

References 20 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A high BMI has been reported to be associated with a risk of developing UIH due to increased abdominal pressure and stress on the wound. 5,10,11 Significant differences were observed in the univariate analyses, but multivariate analyses did not show significant differences. In this study, high values of SFT and IPT were risk factors for UIH.…”

Section: Discussionmentioning

confidence: 90%

“…So far, body mass index (BMI), visceral fat obesity, gender and wound infection has been reported as risk factors of UIH after limiting LCRS. 5,6 In addition to clinical findings, ultrasonography and computed tomography are currently recommended for the diagnosis of UIH. 7,8 In this study, we focused on factors such as subcutaneous fat thickness (SFT) and intraperitoneal thickness (IPT), which do not require special analysis software and can be measured only using computed tomography (CT).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for umbilical incisional hernia after laparoscopic colorectal surgery

Tanaka

Kitazawa

Miyagawa

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background Laparoscopic colorectal surgery (LCRS) requires a small laparotomy at the umbilicus. The wound is small and inconspicuous, but if the patient develops an umbilical incisional hernia (UIH), the wound is visible and the patient suffers from symptoms of discomfort. However, the incidence of UIH after LCRS and its risk factors are not well understood. The purpose of this study was to investigate the risk factors for UIH after LCRS for colorectal cancer. Methods This was a single‐centre retrospective study of 135 patients with colorectal cancer, conducted at our hospital from April 2013 to March 2019. The diagnosis of UIH was based on computed tomography and physical examination findings. Preoperative patient data such as enlargement of the umbilical orifice (EUO), subcutaneous fat thickness (SFT) and intraperitoneal thickness (IPT) were collected and analysed using univariate and multivariate analyses for the presence of risk factors for UIH. Results A total of 135 patients who underwent LCRS were analysed. The incidence of UIH was 20.7%. Univariate analysis revealed significantly high body mass index (BMI) ≥ 25 (P = 0.032), EUO (P < 0.001), SFT ≥18 mm (P = 0.011), and IPT ≥61 mm (P < 0.01) in the UIH group. Multivariate analysis revealed significant differences in EUO (P < 0.001), SFT ≥18 mm (P = 0.046) and IPT ≥61 mm (P = 0.022). Conclusion EUO was the most important risk factor for UIH, followed by IPT and SFT. These findings are predictive indicators of the development of UIH after LCRS and can be assessed objectively and easily with preoperative computed tomography.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Risk factors for umbilical incisional hernia after laparoscopic colorectal surgery

Tanaka

Kitazawa

Miyagawa

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Several risk factors for TSH have been described. They can be related to patient factors (older age, smoking status, comorbidities as obesity, diabetes) [ 3 , 8 , 9 , 22 ], to technical and perioperative factors (duration of surgery, trocar size) [ 22 , 23 ] and to postoperative factors such as wound infection [ 8 ]. In our material, sleep apnea was the only variable significantly more seen in patients with TSH than patients without.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical relevance of these hernias is due to the fact that they can lead to significant morbidity such as bowel obstruction and strangulation and require acute surgery [ 13 , 24 , 25 ]. But the proportion of the symptomatic cases is poorly understood [ 22 ]. None of the 79 patients in our study had up to follow-up been subjected to hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Trocar site hernia after gastric sleeve

et al. 2021

View full text Add to dashboard Cite

Background Laparoscopy is common in abdominal surgery. Trocar site hernia (TSH) is a most likely underestimated complication. Among risk factors, obesity, the use of larger trocars and the umbilical trocar site has been described. In a previous study, CT scan in the prone position was found to be a reliable method for the detection of TSH following gastric bypass (LRYGB). In the present study, our aim was to examine the incidence of TSH after gastric sleeve, and further to investigate the proportion of symptomatic trocar site hernias. Methods Seventy-nine patients subjected to laparoscopic gastric sleeve in 2011–2016 were examined using CT in the prone position upon a ring. Symptoms of TSH were assessed using a digital survey. Results The incidence of trocar site hernia was 17 out of 79 (21.5%), all at the umbilical trocar site. The mean follow-up time was 37 months. There was no significant correlation between patient symptoms and a TSH. Conclusions The incidence of TSH is high after laparoscopic gastric sleeve, a finding in line with several recent studies as well as with our first trial on trocar site hernia after LRYGB. Up to follow-up, none of the patients had been subjected to hernia repair. Although the consequence of a trocar site hernia can be serious, the proportion of symptomatic TSH needs to be more clarified.

show abstract

“…Laparoscopic sacrocolpopexy (LSC) is recognized as being equivalent to abdominal sacrocolpopexy (ASC) and equivalent or superior to transvaginal vaginal mesh (TVM) and other surgical procedures [ 5 , 6 ]. However, there are inevitably 4–5 wounds in the abdominal wall, and the estimated rate of trocar site hernia is 0.8–2.9%, even up to 27.6% [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Transvaginal single-port versus multi-port laparoscopic sacrocolpopexy: a retrospective cohort study

Sima

et al. 2022

BMC Surg

View full text Add to dashboard Cite

Background Sacrocolpopexy is the gold standard treatment for apical prolapse. With the development of minimally invasive surgical techniques, the new approach of transvaginal single-port laparoscopic sacrocolpopexy (TS-LSC) has become available. However, its therapeutic effects remain unclear. The aim of this study is to compare the middle-term clinical outcomes of transvaginal single-port laparoscopic sacrocolpopexy with multi-port laparoscopic sacrocolpopexy (LSC) for apical prolapse. Methods We conducted a retrospective cohort study. Patients with advanced apical prolapse who underwent either TS-LSC or LSC between May 2017 to June 2019 were enrolled. Baseline demographics, perioperative results, perioperative and postoperative complications, pelvic organ prolapse quantification (POPQ) scores, pelvic floor distress inventory (PFDI-20) score and pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12) score were collected at 2 years. Results 89 subjects were analyzed: 46 in TS-LSC and 43 in LSC group. Follow-up time was 38.67 ± 7.46 vs 41.81 ± 7.13 months, respectively. Baseline characteristics and perioperative outcomes were similar except that pain score was lower (2.37 ± 0.90 vs 3.74 ± 1.05) and cosmetic score was higher (9.02 ± 0.75 vs 7.21 ± 0.89) in TS-LSC group (P < 0.05). Complication rates did not differ between groups. 3 mesh exposure in each group were noted. Recurrence rate was 2.17% in TS-LSC and 6.98% in LSC, no apical recurrence occurred. Constipation was the most common postoperative symptom. Besides, patients in TS-LSC group had better POP-Q C point (− 6.83 ± 0.54 vs − 6.39 ± 0.62, P < 0.05), and similar Aa, Ap and TVL values. Bladder and pelvic symptoms were improved in both groups, but colorectal symptoms were not relieved. There were no differences of PISQ-12 scores between groups. Conclusion TS-LSC was not inferior to LSC at 2 years. Patients may benefit from its mild pain, better cosmetic effect and better apical support as well as good safety and efficacy. TS-LSC is a promising considerable choice for advanced vaginal apical prolapse. Trial registration ChiCTR2000032334, 2020-4-26 (retrospectively registered)

show abstract

Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study

Cited by 20 publications

References 20 publications

Risk factors for umbilical incisional hernia after laparoscopic colorectal surgery

Risk factors for umbilical incisional hernia after laparoscopic colorectal surgery

Trocar site hernia after gastric sleeve

Transvaginal single-port versus multi-port laparoscopic sacrocolpopexy: a retrospective cohort study

Contact Info

Product

Resources

About