Trocar Site Hernia After Laparoscopic Cholecystectomy

2007 ◽  
Vol 17 (5) ◽  
pp. 600-603 ◽  
Author(s):  
Hatim Y. Uslu ◽  
Ayhan B. Erkek ◽  
Atil Cakmak ◽  
Ilknur Kepenekci ◽  
Ulas Sozener ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Trocar Site ◽  
Trocar Site Hernia

Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study

Hernia ◽  
2012 ◽  
Vol 16 (4) ◽  
pp. 431-437 ◽  
Author(s):  
E. Erdas ◽  
C. Dazzi ◽  
F. Secchi ◽  
S. Aresu ◽  
A. Pitzalis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Trocar Site ◽  
Follow Up Study ◽  
Trocar Site Hernia ◽  
Long Term Follow Up

scholarly journals Characteristics of Trocar Site Hernia after Laparoscopic Cholecystectomy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Mohammad Nibih Nofal ◽  
Ali Jad Yousef ◽  
Farouq Fakhri Hamdan ◽  
Ahmad Hisham Oudat
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Trocar Site ◽  
Trocar Site Hernia

Trocar site hernia following laparoscopic cholecystectomy: a 10-year single center experience

Hernia ◽  
2017 ◽  
Vol 21 (6) ◽  
pp. 925-932 ◽  
Author(s):  
G. Chatzimavroudis ◽  
B. Papaziogas ◽  
I. Galanis ◽  
I. Koutelidakis ◽  
S. Atmatzidis ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Center ◽  
Trocar Site ◽  
Single Center Experience ◽  
Trocar Site Hernia

Umbilical Fascial Defects are Common and Predict Trocar Site Hernias After Laparoscopic Appendectomy

2021 ◽  
pp. 000313482199506
Author(s):  
Steven M. Hernandez ◽  
Elizabeth A. Kiselak ◽  
Tania Zielonka ◽  
Scarlett Tucker ◽  
Melissa Blatt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Appendectomy ◽  
Medical Center ◽  
Area Under The Curve ◽  
Demographic Information ◽  
Fascial Defect ◽  
Trocar Site ◽  
Trocar Site Hernia ◽  
Preoperative Ct ◽  
Tomography Scan

Introduction Investigations have demonstrated that trocar site hernia (TSH) is an under-appreciated complication of laparoscopic surgery, occurring in as many as 31%. We determined the incidence of fascial defects prior to laparoscopic appendectomy and its impact relative to other risk factors upon the development of TSH. Methods TSH was defined as a fascial separation of ≥ 1 cm in the abdominal wall umbilical region on abdominal computerized tomography scan (CT) following laparoscopic appendectomy. Patients admitted to our medical center who had both a preoperative CT and postoperative CT for any reason (greater than 30 days after surgery) were reviewed for the presence of TSH from May 2010 to December 2018. CT scans were measured for fascial defects, while investigators were blinded to film timing (preoperative or postoperative) and patient identity. Demographic information was collected. Results 241 patients undergoing laparoscopic appendectomy had both preoperative and late postoperative CT. TSH was identified in 49 (20.3%) patients. Mean preoperative fascial gap was 3.3 ± 4.3 mm in those not developing a postoperative hernia versus 14.8 ± 7.3 mm in those with a postoperative hernia ( P < .0001). Preoperative fascial defect on CT was predictive of TSH ( P < .001, OR = 1.44), with an Area Under the Curve (AUC) of .921 (95%CI: .88–.92). Other major risk factors for TSH were: age greater than 59 years ( P < .031, OR = 2.48); and obesity, BMI > 30 ( P < .012, OR = 2.14). Conclusions The incidence of trocar site hernia was one in five following laparoscopic appendectomy. The presence of a pre-existing fascial defect, advanced age, and obesity were strong predictors for the development of trocar site hernia.

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