Trocar site hernia after laparoscopic surgery: a qualitative systematic review

Helgstrand, Frederik; Rosenberg, Jacob; Bisgaard, Thue

doi:10.1007/s10029-010-0757-x

Cited by 178 publications

(164 citation statements)

References 42 publications

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“…The first search for systematic reviews resulted in five records [33,40,41,46,49] and 25 additional records were screened by full text . Several studies comment on the incidence of trocar-site hernia for various trocar sizes.…”

Section: Trocar Size and Trocar Typementioning

confidence: 99%

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European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

488

406

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Section: Trocar Size and Trocar Typementioning

confidence: 99%

“…Helgstrand et al [33] performed a systematic review on the incidence of trocar-site hernia. Although they found a risk reduction after sutured closure and a lower hernia rate for 5-mm versus larger diameter trocars, no meta-analysis was undertaken.…”

Section: Trocar Size and Trocar Typementioning

confidence: 99%

European Hernia Society guidelines on the closure of abdominal wall incisions

Muysoms

Antoniou

Bury

et al. 2015

Hernia

488

406

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“…18 The larger fascial incision for a single port laparoscopic device may lead to increased herniation risk. 19 This appears as a disadvantage of the SI surgery.…”

Section: Discussionmentioning

confidence: 99%

Single-Incision Laraposcopic Nissen Fundoplication for Gastroesophageal Reflux Disease Using Conventional Instruments

Yılmaz¹,

Alptekın²,

Şahin³

2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Since the early 1990s with the development of minimally invasive techniques, laparoscopic Nissen fundoplication has become the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD), and antireflux surgical treatment of GERD can be performed by the single incision laparoscopic technique. In this study, we aimed to assess the safety and feasibility of single incision laparoscopic Nissen fundoplication (SILNF) with a new liver retraction technique. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Ten patients underwent single incision laparoscopic Nissen fundoplication between October 2011 and March 2012. In all patients, upper gastrointestinal endoscopy was performed. Ambulatory 24-h pH impedance monitoring was performed in all patients. The skin, subcutaneous tissue and fascia were incised with a 20 mm vertical midline incision above the umbilicus, and a SILS-Port™ (Covidien Corp, Mansfield, MA, USA) was placed with conventional laparoscopic hand instruments. R Re es su ul lt ts s: : The procedure was successfully performed in all ten patients. The mean Johnson-DeMeester score was 29±7.9. The mean operation time was 93±14.1 minutes. The hiatal area was clearly visible with the new liver retraction technique which was applied in this study. None of the patients required conversion to an open procedure. Two patients required the insertion of an additional port. There were no intraoperative or early postoperative complications. C Co on nc cl lu us si io on n: : SILNF is safe and technically feasible, and it can be performed with conventional laparoscopic instruments.K Ke ey y W Wo or rd ds s: : Fundoplication; gastroesophageal reflux; surgical procedures, minimally invasive Ö ÖZ ZE ET T A Am ma aç ç: : 1990'lı yılların başından itibaren minimal invaziv tekniklerin gelişmesi ile gastroözofageal reflü hastalığının cerrahi tedavisinde antireflü cerrahisinin uygulamasında, laparoskopik Nissen fundoplikasyon ameliyatı altın standart haline gelmiştir. Laparoskopik Nissen fundoplikasyon tek kesi laparoskopik teknik kullanılarak da gerçekleştirilebilir. Bu çalışmada, yeni bir karaciğer retraksiyon tekniği kullanılarak yapılan tek kesi laparoskopik Nissen fundoplikasyon ameliyatının uygulanabilirliğinin ve güvenliğinin değerlendirilmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ekim 2011 ve Mart 2012 tarihleri arasında 10 hastaya tek kesi laparoskopik Nissen fundoplikasyon ameliyatı uygulandı. Operasyon öncesi tüm hastalar üst gastrointestinal sistem endoskopisi ile değerlendirildi ve 24 saatlik pH empedans izlemi yapıldı. Deri, derialtı dokusu ve fasya, göbek üzerinde 20 mm dikey orta hat kesi ile geçildi ve SILS-Port ™ (Covidien Corp, Mansfield, MA, USA) konvansiyonel laparoskopik el aletleri ile yerleştirildi. B Bu ul lg gu ul la ar r: : Tek kesi laparoskopik fundoplikasyon 10 hastanın tamamında başarıyla uygulandı. Ortalama Johnson-DeMeester skoru 29±7,9 idi. Ortalama ameliyat süresi 93±...

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“…To prevent TSH the fascia of trocar sites of 10 mm or above should be sutured with a non-absorbable or slowly-absorbable suture, especially in the umbilical area. Co-morbidities as diabetes, smoking and obesity might be risk factors for TSH (Helgstrand et al, 2010). The use of a Veress Needle (instead of an open introduction technique) and a sharp trocar (compared to a conical shaped trocar) are associated with a higher incidence of TSH.…”

Section: Trocar Site Heriamentioning

confidence: 99%