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

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 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 Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ana Ciscar ◽  
Josep M. Badia ◽  
Francesc Novell ◽  
Santiago Bolívar ◽  
Esther Mans
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Gold Standard ◽  
Prospective Observational Study ◽  
Ultrasound Examination ◽  
Trocar Site ◽  
Cross Sectional ◽  
Main Variable ◽  
Registration Number

Abstract Background Trocar site incisional hernia (TSIH) is the most frequent complication associated with laparoscopic surgery. Few studies currently describe its incidence or risk factors. The aim of this report is to determine the real incidence of TSIH and to identify risk factors. Methods A cross-sectional prospective study was performed including consecutive patients who underwent a laparoscopic procedure during a 4 months period. All the patients were assessed both clinically (TSIHc) and by an ultrasonographic examination (TSIHu). The main variable studied was the incidence of TSIH. A multivariate analysis was performed to identify risk factors. Results 76 patients were included. 27.6% of patients were clinically diagnosed as having TSIH (TSIHc) but only 23.7% of those cases were radiologically confirmed (TSIHu). In the logistic regression analysis, age > 70 years (OR 3.462 CI 1.14–10.515, p = 0.028) and body mass index (BMI) ≥ 30 kg/m2 (OR 3.313 CI 1.037–10.588, p = 0.043) were identified as risk factors for TSIH. The size of the trocar also showed statistically significant differences (p < 0.001). Mean follow-up time was 34 months. Conclusions TSIH is under-diagnosed due to the lack of related symptomatology and the inadequacy of the postoperative follow-up period. We detected discrepancies between the clinical and ultrasonographic examinations. TSIHu should be considered as the gold standard for the diagnosis of TSIH. Risk factors such as age, BMI and size of the trocar were confirmed. Patients should be followed-up for a minimum of 2 years. Trial registration The study has been retrospectively registered in Clinicaltrials.gov on June 4, 2020 under registration number: NCT04410744

A rare case of interparietal incisional hernia from 8 mm trocar site after robot-assisted laparoscopic prostatectomy

Hernia ◽  
2013 ◽  
Vol 18 (6) ◽  
pp. 911-913 ◽  
Author(s):  
S. K. Lim ◽  
K. H. Kim ◽  
T.-Y. Shin ◽  
S. J. Hong ◽  
Y. D. Choi ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Rare Case ◽  
Robot Assisted ◽  
Trocar Site ◽  
Laparoscopic Prostatectomy

scholarly journals Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination. A prospective observational study​

2020 ◽  
Author(s):  
Ana Ciscar ◽  
Josep Maria Badia ◽  
Francesc Novell ◽  
Santiago Bolivar ◽  
Esther Mans
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Incisional Hernia ◽  
Gold Standard ◽  
Prospective Observational Study ◽  
Ultrasound Examination ◽  
Trocar Site ◽  
Cross Sectional ◽  
Main Variable

Abstract BACKGROUND: Trocar site incisional hernia (TSIH) is the most frequent complication associated with laparoscopic surgery. Few studies currently describe its incidence or risk factors. The aim of this report is to determine the real incidence of TSIH and to identify risk factors. METHODS: A cross-sectional prospective study was performed including consecutive patients who underwent a laparoscopic procedure during a four months period. All the patients were assessed both clinically (TSIHc) and by an ultrasonographic examination (TSIHu). The main variable studied was the incidence of TSIH. A multivariate analysis was performed to identify risk factors. RESULTS: 76 patients were included. 27.6% of patients were clinically diagnosed as having TSIH (TSIHc) but only 23.7% of those cases were radiologically confirmed (TSIHu). In the logistic regression analysis, age > 70 years (OR 3.462 CI 1.14 - 10.515, p = 0.028) and body mass index (BMI) ≥30 Kg / m2 (OR 3.313 CI 1.037-10.588, p = 0.043) were identified as risk factors for TSIH. The size of the trocar also showed statistically significant differences (p <0.001). Mean follow-up time was 34 months.CONCLUSIONS: TSIH is under-diagnosed due to the lack of related symptomatology and the inadequacy of the postoperative follow-up period. We detected discrepancies between the clinical and ultrasonographic examinations. TSIHu should be considered as the gold standard for the diagnosis of TSIH. Risk factors such as age, BMI and size of the trocar were confirmed. Patients should be followed-up for a minimum of 2 years.

scholarly journals Trocar site post incisional hernia: about 19 cases

2018 ◽  
Vol 29 ◽  
Author(s):  
Karim Nacef ◽  
Mohamed Ali Chaouch ◽  
Asma Chaouch ◽  
Mohamed Ben Khalifa ◽  
Mossaab Ghannouchi ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Trocar Site
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