Incisional Hernia and Fascial Defect Following Laparoscopic Surgery

Coda, Andrea; Bossotti, M; Ferri, Fred F.; Mattio, Roberto; Ramellini, Giovanni; Poma, Antonella; Quaglino, Francesco; Filippa, Claudio; Bona, Alberto

doi:10.1097/00129689-200002000-00008

Cited by 55 publications

(59 citation statements)

References 8 publications

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“…Azurin DJ, et al has shown that out of 1300 laparoscopic cholecystectomies, 0.8% of their patients developed PSH [18] . Coda .A., et al reported a series of 1287 patients underwent laparoscopic cholecystectomy whose fascias were sutured, only 1% of them developed PSH [19] .…”

Section: Discussionmentioning

confidence: 99%

“…Review of Engilish-written literature revealed that there are several reports suggesting prolonged manipulation coupled with reinsertion of the laparoscopic trocar may be associated with an increased risk of PSH [19] .…”

Section: Discussionmentioning

confidence: 99%

“…Coda et al [19] 2000 1287 closure 1 Liu et al [11] 2000 110 Non-closure 0 Shalhav et al [23] 2002 90 Non-closure vs. closure 0 vs. 0 Sequeira et al [24] 2004 70 Non-closure 0…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Surgery: Is it Essential to Close the Trocar Site Fascial Defects of 5 and 10 Millimeters in Diameter?

Al-Dhahiry¹

2017

jmscr

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Surgery: Is it Essential to Close the Trocar Site Fascial Defects of 5 and 10 Millimeters in Diameter?

Al-Dhahiry¹

2017

jmscr

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“…Als Risikofaktoren, welche im Zusammenhang mit der Entstehung umbilikaler Narbenhernien beobachtet wurden, sind Wundinfektionen, Diabetes mellitus, akute Cholezystitis und vorbestehende Nabelhernien zu nennen. Auch Gallensteine >15 mm begünstigten die Entstehung umbilikaler Narbenhernien [55]. Zur Minimierung des Risikos umbilikaler Narbenhernien wird der sichere Wundverschluss nach kompletter Desufflation [52,56] favorisiert.…”

Section: Faszienverschlussunclassified

Chirurgische Therapie der Cholezystolithiasis

Geissler¹,

Marusch²,

Pross³

et al. 2001

Visc Med

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Surgical Treatment of Cholecystolithiasis Laparoscopic cholecystectomy is the ‘gold standard’ for the treatment of uncomplicated cholecystolithiasis. Prospective randomized studies comparing this modality with open cholecystectomy are not available. While the major aspects of the operating technique have been standardized, there has been no true standardization, in particular of trocar positioning and the recovery of surgical specimens. The most important criterion of the method is the unequivocal identification of the anatomical structures in Calot’s triangle.

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“…[11,12,13] These hernias can be complicated by obstruction and strangulation. [14,15,16] The umbilicus was by far the most common port to be associated with incisional hernia, However, hernias were observed at all other sites including the epigastrium, the right and left hypochondrium. [17,18,19] The interval between operation and diagnosis of PSH varies between studies and depends on follow-up regimes.…”

Section: Introductionmentioning

confidence: 99%

Entry Related Injuries and Port Site Hernias in Laparoscopic Procedures: A Review of 100 Cases

Muthammal¹,

Joseph²

2016

jemds

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OBJECTIVEThis prospective clinical trial was conducted to evaluate the incidence of intraperitoneal injuries with the use of closed Veress needle technique in primary port placement, the incidence of Port Site Hernias (PSH) and the efficacy of fascial closure in the prevention of PSH. METHODSA total of 100 patients undergoing various laparoscopic procedures were enrolled in the study, which included Cholecystectomy, Appendectomy, Adhesiolysis and diagnostic procedures. All surgeries were done on selective basis. Fascial closure was not done in any of the cases and no Endobag was used to retrieve the specimens. In the event of difficulty in retrieving the specimen, port site was extended by 2 or 3 mm to facilitate easy removal. The period of study was from October 2013 to March 2015 at The Government Chengalpattu Medical College and Hospital. The incidence of injuries to the intraperitoneal structures during the primary port insertion by the closed Veress needle technique and the incidence of PSH were observed. RESULTSThere was no incidence of bowel or vascular injuries with the use of the closed Veress needle technique or PSH in all the 100 patients (0%). The advantages of fascial closure in preventing PSH is questionable. CONCLUSIONClosed method of primary port insertion using the Veress needle is a very safe method with the appropriate technique. The efficacy of closure of fascial layer in preventing trocar site hernias is a subject of debate and needs further evaluation since our study was restricted to basic laparoscopic procedures done on elective basis and no comparative analysis was made with the open method.

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Incisional Hernia and Fascial Defect Following Laparoscopic Surgery

Cited by 55 publications

References 8 publications

Laparoscopic Surgery: Is it Essential to Close the Trocar Site Fascial Defects of 5 and 10 Millimeters in Diameter?

Laparoscopic Surgery: Is it Essential to Close the Trocar Site Fascial Defects of 5 and 10 Millimeters in Diameter?

Chirurgische Therapie der Cholezystolithiasis

Entry Related Injuries and Port Site Hernias in Laparoscopic Procedures: A Review of 100 Cases

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