Trocar Site Hernia After Laparoscopic Cholecystectomy

Uslu, Hatim Yahya; Erkek, Ayhan Bulent; Çakmak, Atıl; Kepenekçi, İlknur; Sozener, Ulas; Kocaay, Firat; Türkçapar, Ahmet Gökhan; Kuterdem, Ercüment

doi:10.1089/lap.2006.0182

Cited by 95 publications

(102 citation statements)

References 16 publications

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“…Available data derived from univariate and multivariate analyses of cohort studies, which have investigated the effect of potential risk factors for trocar-site hernia. Obesity, age above 60 years diabetes, long duration of surgery, and the need for fascia enlargement for specimen extraction were identified as risk factors for the development of trocar-site hernia [120,137].…”

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

504

406

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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

504

406

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“…Interestingly, we did not find an association between BMI and complication rate. Patient's age [32,33] and co-morbidities [34][35][36][37] are recognized risk factors for port-site complications. The findings of present study endorsed them as potential risk factors for port-site complications.…”

Section: Discussionmentioning

confidence: 99%

“…The findings of present study endorsed them as potential risk factors for port-site complications. Studies have also mentioned obesity [33,38] as a potential risk factor. However, in present study, we did not have any obese patient and hence are not in a position to comment on this aspect.…”

Section: Discussionmentioning

confidence: 99%

A Study of Post Laparoscopic Port Related Complications

A¹,

Kumar²,

Mahendru³

et al. 2018

jemds

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BACKGROUND Rapid growths in health care technology have given the surgeon the power of not only treating diseases surgically but also limiting surgical invasiveness. Laparoscopic surgeries are preferred over open surgeries, but laparoscopic surgery is not a panacea to all the problems associated with open surgery. It has its own problems and complications. The present study is planned to assess the post laparoscopic surgery port related complications. MATERIALS AND METHODSThe present study was a prospective descriptive study conducted in the Department of General Surgery at Era's Lucknow Medical College and Hospital over a period of eighteen months. A total of 310 patients were included in the study and followed up for a period of three months from the day of surgery. RESULTSOut of 310 patients enrolled in the study, complications were observed only in 8 (2.58%). Port site infections were present in 6 (1.94%) cases while metastasis and hypertrophic scar was observed in 1 (0.32%) case each. CONCLUSIONThe rate of port-site complication in the present study was found to be 2.58%. The study identified older age, smoking habit and diabetes as the potential risk factors affecting the complication rates. [1] and an increase in frequency of laparoscopic abdominal surgery made it common by 1990. [2] Laparoscopic surgeries are preferred over general surgeries because of lower cost, lesser pain and scarring, faster convalescence, lesser hospital stay and overall low cost [3,4] besides these advantages complications are by far very rare. [5] Common complications include infection, incisional hernia, bleeding, etc.Reusable metallic or disposable plastic trocars are inserted through small skin incisions or ports. These ports form the portal of entry to perform the surgical procedure by means of specially devised instruments and telescope.

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“…Ziel der Anwendung der (Hybrid-)NOTES-Technik ist bei der Appendektomie vielmehr, die Morbidität der transkutanen Trokarzugänge zu vermeiden, namentlich Trokarhernien und chronische Neuralgien. Allerdings ist sowohl die Inzidenz von Trokarhernien mit bis zu 5,2% [24] als auch die Inzidenz des neuropathischen Schmerzes an Trokarzugangsstellen im lateralen Unterbauch mit bis zu 4,9% [22] so gering, dass für eine randomisierte Studie mit einer Power von 0,80 und einem Signifikanzniveau von 0,05 eine Fallzahl von ca. 150, bei einer angenommenen Trokarhernieninzidenz von 0,5% [23] sogar von ca.…”

Section: Diskussionunclassified

“…Interessant ist zudem, dass der Faszienverschluss von Trokarzugängen ≥10 mm die Hernienrate signifikant reduziert [9], gleichzeitig aber die Rate an postoperativen neuropathischen Schmerzen deutlich erhöht [22]. Da das weibliche Geschlecht ein Risikofaktor für die Trokarhernienentstehung zu sein scheint [24], ist der transvaginale Zugangsweg besonders relevant.…”

Section: Diskussionunclassified