scholarly journals Incisional Hernia in a 12-mm Nonbladed Trocar Site Following Laparoscopic Nephrectomy

2006 ◽  
Vol 6 ◽  
pp. 2399-2402 ◽  
Author(s):  
Erik J. Kouba ◽  
J. Slade Hubbard ◽  
Eric Wallen ◽  
Raj S. Pruthi
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Port Site ◽  
Laparoscopic Nephrectomy ◽  
Trocar Site ◽  
Prior Report ◽  
Port Site Hernia ◽  
Abdominal Fascia ◽  
Bowel Herniation

Non-bladed trocars and radially dilating systems are considered less traumatic to the abdominal wall because they do not incise the fascia itself. Since the fascia is not cut, it has believed that the fascia closes by itself. Consequently, several authors have suggested that closure of the abdominal fascia may be unnecessary when such non-bladed laparoscopic trocars are used. We report of a case in which a port site hernia was diagnosed at the site of a 12 mm non-bladed trocar 11 days after laparoscopic nephrectomy. Although it may be true that in many cases port site closure is unnecessary and does not result in bowel herniation, this case along with a prior report serve as important reminders that port site hernias are possible even in the use of non-bladed or radial dilating systems, and that there exists a number of potential variables that may predispose to herniation and consequently the ability to predict such events in individual patients remains uncertain. As such, we recommend closing 10 mm or larger port sites irrespective of trocar design.

scholarly journals SURGICAL AUDIT - LAPAROSCOPIC CHOLECYSTECTOMY IN A FREE CAMP AT PRIVATE SECTOR HOSPITAL

2020 ◽  
Vol 11 (2) ◽  
pp. 16-20
Author(s):  
Dr. Abdul Ghani Soomro
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Hospital Stay ◽  
Open Cholecystectomy ◽  
Port Site ◽  
Bladder Injury ◽  
Safe Procedure ◽  
Trocar Site ◽  
Port Site Hernia ◽  
Surgical Audit

BACKGROUND & OBJECTIVE: Laparoscopic Cholecystectomy is usual method for the treatment of gall bladder stone disease and is practiced all over the world due to many benefits like fasten the recovery time. Furthermore, it reduced the post-operative pain and period of hospital stay. To conduct Surgical Audit and evaluate safety of Laparoscopic cholecystectomy. METHODOLGY: This prospective study was conducted in a private hospital at Hyderabad during free camps of Laparoscopic Cholecystectomy. Four camps were arranged in 2016 - 2019. Total number of 190 patients  underwent Laparoscopic Cholecystectomy during the study period. The patient's age falls between 12–65 years. A detailed history, relevant investigation and Cardiac fitness were evaluated. All patients underwent four ports Lap-Chole. Data was collected assessed and audit was performed and safety was evaluated. RESULTS: Total 190 patients operated females 88.45% and males 11.55%. 115 (60.50%)were in  the range of 30-35 years followed by 55 (28.95%)patients in the range of 40-50 years.8 (4.20%) patients were converted to open cholecystectomy, 4 due to bleeding from liver bed, 3 patients due to difficult dissection in calots triangle and 1 due to Empyema of gall bladder.10 patients (5.50%) had Trocar site bleeding, 10 patients (5.50%) had gall bladder injury, in 4 cases had spillage of stones and 72 patients (38.50%) developed umbilical port site infection 1 patient develop port site hernia. No mortality was recorded in this study. CONCLUSION: Our Surgical Audit proves that Laparoscopic Cholecystectomy is a safe procedure on the basis of only 4.2% intra operative and 5.5% postoperative complications and gaining wide spread popularity among our population due to less pain, less hospital stay. We recommend other private hospitals to extent such services to our poor population with symptomatic cholelithiasis.

scholarly journals Complications of Laparoscopic Cholecystectomy

2019 ◽  
Vol 17 (2) ◽  
pp. 73-79
Author(s):  
ABM Khurshid Alam ◽  
Mashrur Akbar Khan ◽  
Rashed Uz Zaman ◽  
Md Ali Akbar ◽  
Md Abul Bashar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallbladder Disease ◽  
Gallstone Disease ◽  
Gall Stone ◽  
Bile Leakage ◽  
Port Site ◽  
Trocar Site ◽  
College Hospital ◽  
Port Site Hernia ◽  
Complications Of Laparoscopic Cholecystectomy

Background: laparoscopic cholecystectomy is now regarded as the "Gold Standard" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease. Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed. Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases. Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications. Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79

scholarly journals Port site hernia: What are the risk factors?

2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Tayeb S. Kareem ◽  
Renas A. Farman
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Incisional Hernia ◽  
Port Site ◽  
Age Group ◽  
Port Site Hernia ◽  
Open Port ◽  
Fascial Layer

<p><strong>Background &amp; Aim</strong>: The port site hernia is a type of incisional hernia that occurs at port sites after laparoscopic surgery. Various factors have been implicated in the development of port site hernia.</p><p>The aim of this study was to know the risk factors of the port site hernia.</p><p><strong>Patients &amp; Methods:</strong> A retrospective study of patients who underwent different elective laparoscopic procedures in Rizgary Teaching Hospital in Erbil in a period from March 2013 to September 2014.</p><p><strong>Results</strong>: Out of 300 patients only 8 (2.7%) patients developed port site hernia. The time of the hernia occurrence ranged from 3 weeks to six months postoperatively. Half of the hernias were found in cases of age group (60-80) years. Six (75%) of the cases were female patients. All 8 hernias developed after laparoscopic cholecystectomy. Six (75%) hernias developed after open port entrance technique. All hernias occurred when the fascia in 10 mm port was not closed. Seven hernias (87.5%) occurred in patients with BMI ranged (25-34).</p><p><strong>Conclusion:</strong> Age of the patients, technique of entrance, site and size of the port with unclosed fascial layer are important factors for developing port site hernia.</p>

scholarly journals Incisional Hernia in a 12 mm Non-Bladed Trocar Site Following Laparoscopic Nephrectomy

TSW Urology ◽  
2006 ◽  
Vol 1 ◽  
pp. 104-107
Author(s):  
Erik J. Kouba ◽  
J. Slade Hubbard ◽  
Eric Wallen ◽  
Raj S. Pruthi
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Nephrectomy ◽  
Trocar Site

scholarly journals Incisional Hernia in a 12-mm Non-Bladed Trocar Site following Laparoscopic Nephrectomy

2007 ◽  
Vol 79 (3) ◽  
pp. 276-279 ◽  
Author(s):  
Erik J. Kouba ◽  
J. Slade Hubbard ◽  
Eric Wallen ◽  
Raj S. Pruthi
Keyword(s):  
Incisional Hernia ◽  
Laparoscopic Nephrectomy ◽  
Trocar Site

1281: Avoiding Fascial Closure of 11 MM and 12 MM Conical Blunt Trocars Following Laparoscopic Nephrectomy does not Result in Port-Site Hernia

2004 ◽  
Vol 171 (4S) ◽  
pp. 337-337
Author(s):  
Michael W. Phelan ◽  
Hyung L. Kim ◽  
Kent T. Perry ◽  
Blaine Krista ◽  
Gregory S. Jack ◽  
...  
Keyword(s):  
Port Site ◽  
Laparoscopic Nephrectomy ◽  
Fascial Closure ◽  
Port Site Hernia

scholarly journals Use of a novel integrated port closure system - A multi-center study

2020 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract Background The incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.Methods A multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.Results Fifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.Conclusions The TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

scholarly journals Use of a novel integrated port closure system - A multi-center study

2021 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract BackgroundThe incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.MethodsA multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.ResultsFifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.ConclusionsThe TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

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