Port Site Hernias Following Laparoscopic Ventral Hernia Repair

Abstract

Background Port site hernias (PSH) are underreported following laparoscopic ventral hernia repair (LVHR). Most occur at the site of laterally placed 10-12-mm ports used to introduce large pieces of mesh. One alternative is to place the large port through the ventral hernia defect; however, there is potential for increased risk of surgical site infection (SSI). This study evaluates the outcomes when introducing mesh through a 10-12-mm port placed through the hernia defect. Methods This was a retrospective case series of patients who underwent LVHR in three prospective trials from 2014-2017 at one institution. All patients had mesh introduced through a 10-12-mm port placed through the ventral hernia defect. The primary outcome was SSI. Secondary outcomes were hernia occurrences including recurrences and PSH. Results A total of 315 eligible patients underwent LVHR with a median (range) follow-up of 21 (11-41) months. Many patients were obese (66.9%), recently quit tobacco use (8.8%), or had diabetes (18.9%). Most patients had an incisional hernia (61.2%), and 19.2% were recurrent. Hernias were on average 4.8 ± 3.8 cm in width. Two patients (0.6%) had an SSI. Fourteen patients had a hernia occurrence-13 (4.4%) had a recurrent hernia, and one patient (0.3%) had a PSH. Conclusion During LVHR, introduction of mesh through a 10-12-mm port placed through the hernia defect is associated with a low risk of SSI and low risk of hernia occurrence. While further studies are needed to confirm these results, mesh can be safely introduced through a port through the defect.

Analysis of influencing factors of complications after laparoscopic inguinal hernia repair: An observational study

“…Hernia, also known as “hernia,” is a phenomenon in which a part of an individual’s internal organs or tissues leaves its original position and enters another part of the body through congenital or acquired gaps, defects, or weak areas. [ 1 ] Currently, hernia can be distinguished as abdominal hernia, lumbar hernia, brain hernia, etc. based on the location of hernia, and hernia appearing in the abdomen is known as abdominal hernia, which can be subdivided into abdominal external hernia and abdominal internal hernia.…”