Trocar site incisional hernia in laparoscopic surgery

Comajuncosas, Jordi; Vallverdú, Helena; Orbeal, Rolando; Parés, David

doi:10.1016/s2173-5077(11)70010-2

Cited by 13 publications

(11 citation statements)

References 46 publications

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“…These variables include female gender, age >60, obesity, diabetes and other comorbidities, smoking and preexisting fascial defect. 5,12,16 We reviewed all these variables in our study and adjuvant therapy for kidney cancer was the only significant risk factor for radiologic IH development (HR 3.2). Some previous reports showed similar relationship between IH and adjuvant chemotherapy for cancer.…”

Section: Discussionmentioning

confidence: 99%

Natural History of Radiologic Incisional Hernia Following Robotic Nephrectomy

Ghoreifi

Whang

Tran

et al. 2020

Journal of Endourology

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Objective: To evaluate the incidence and natural history of radiologic incisional hernia (IH) in patients who underwent robotic partial or radical nephrectomy. Materials and Methods: We retrospectively reviewed the records of patients who underwent robotic partial or radical nephrectomy for kidney tumor in our institution between January 2011 and April 2017. All pre-and postoperative imagings were re-reviewed for detection of IH per Tonouchi classification. Patients who developed hernia were followed up and classified into stable or progressive group. Clinical findings and radiologic features of these patients are reported. Results: A total of 247 patients (169 partial and 78 radical nephrectomies) were included in the study. The incidence of radiologic IH was 27.53%, graded as early-onset (35.3%), late-onset (51.5%), and bowel/fat containing (13.2%). Median time to radiologic IH was 1.7 years. During the follow-up of 68 patients who developed hernia, 33 (48.5%) had progressive and 8 (11.7%) developed clinical hernia. Median time to progression was 1.5 years. On multivariable analysis, adjuvant therapy was an independent predictor for radiologic hernia development (HR 3.23). Pathologic T stage ‡2 and history of open abdominal surgery were also significantly associated with hernia progression (HR 3.93 and 3.47, respectively). Conclusions: Radiologic IH after robotic partial or radical nephrectomy is common. Progression rate is as high as 50% with median time to progression of 1.5 years. Adjuvant therapy is an independent predictor for IH development, whereas higher stage and history of open abdominal surgery are associated with IH progression.

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Section: Discussionmentioning

confidence: 99%

Natural History of Radiologic Incisional Hernia Following Robotic Nephrectomy

Ghoreifi

Whang

Tran

et al. 2020

Journal of Endourology

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“…The closed environment of the umbilicus region increases the risk of secretion and infection around the incision in patient groups operated with multi-channel devices. Bunting reports that hernia development is most common in the umbilicus among the trocar insertion sites (88.9%) [5,[22][23][24]. Although actual rates are not known, Alptekin et al found the frequency of port site hernia development after the SILC technique to be about 3.2 times higher than the LC technique [5].…”

Section: Post-operative Complicationsmentioning

confidence: 99%

“…It is interesting that hernias only developed with the SILC method although both the SILC and MCAP methods use an umbilical entry site. The operation duration and incision size have been reported to be important factors in hernia development after laparoscopic procedures [22,23]. The longer trauma duration to the umbilicus in the single port method can affect the blood circulation in the area.…”

Section: Post-operative Complicationsmentioning

confidence: 99%

The Comparison of Four-Port, Two-Port Without Suspension Suture and Single Port Laparoscopic Cholecystectomy Results

Sulu¹,

Allahverdi²,

Altun³

et al. 2016

Adv Clin Exp Med

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“…• Incisional port site hernias usually at umbilicus port [15] • Slipped gallstones in the abdominal cavity [16] • Complications of the pneumoperitoneum [17,18] • Clip migration [19] • Painful scars in port-sites [20] Discussion PCS affects approximately 10%-15% of the patients and seems to have age and sex differences. The incidence of PSC is 43% in patients aged 20 to 29 years, 27% in those aged 30 to 39 years, 21% in the 40 to 49 years group, 26% in the 50 to 59 years group and 31% among those aged 60 to 69 years; it does not seem to manifest in patients older than 70 years.…”

Section: Additional Causes Of Pcsmentioning

confidence: 99%

Enriched view of postcholecystectomy syndrome: Nowadays and in former times

et al. 2015

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Aim-Background:The aim of the present review is to evidence the differences in the nature of PCS between open and laparoscopic cholecystectomy and also to examine how this condition has evolved over the years. In 5 to 40% of patients with cholelithiasis, regardless of the type of surgery, the symptoms persist postoperatively, leading to the development of the so-called postcholecystectomy syndrome (PCS). The time of the onset of symptoms ranges from 2 days to 25 years after cholecystectomy.Methods: A total number of 926 articles were found as a literature reference pool. We searched English language articles published in Medline, Scopus and google scholar. Only review articles were retrieved because no comparative studies or prospective clinical trials were found to provide statistically significant conclusions. The final group of articles was reviewed, and a total of 57 papers were used for the present review. Results:The literature is conflicting as concerns the pathophysiology and the aetiology of PCS. Regardless of the type of surgery, it seems that PCS is correlated to age and sex. The prevailing view is that retained or recurrent gallstones, gallbladder remnants and Sphincter of Oddi dysfunction are the primary causes. Moreover, systemic diseases of the gastrointestinal (GI) tract, cardiac disorders, autoimmune diseases, nervous system and psychological distress can mimic PCS symptoms. Nonetheless, there are many available techniques regarding diagnosis and treatment. Nowadays, the majority of researchers endorse ERCP as the gold standard for diagnosis and treatment. Conclusion:The preoperative meticulous investigation of patients with cholelithiasis is mandatory in order to identify coexisting disorders related to PCS, achieve a better therapeutic approach, and principally reduce PCS incidence.

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Trocar site incisional hernia in laparoscopic surgery

Cited by 13 publications

References 46 publications

Natural History of Radiologic Incisional Hernia Following Robotic Nephrectomy

Natural History of Radiologic Incisional Hernia Following Robotic Nephrectomy

The Comparison of Four-Port, Two-Port Without Suspension Suture and Single Port Laparoscopic Cholecystectomy Results

Enriched view of postcholecystectomy syndrome: Nowadays and in former times

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