Incisional Hernias after Laparoscopic Surgery
Citation Information :
John M. Incisional Hernias after Laparoscopic Surgery. World J Lap Surg 2010; 3 (1):13-17.
Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.
To review about incisional hernia following laparoscopic abdominal surgery and the relationship between the pathogenesis and clinical features and manifestation of trocar site hernias.
We searched for this subject on Medline and Google search by combining all these words like “trocar,” “port,” “hernia, and “laparoscopy.”
We were not able to find a common factor that analyzed the factors related to trocar site hernia by multivariate analysis. Therefore, we could not indicate the only independent risk factor. However, we have referred to many reports that have logically indicated pathogenesis. The literature what we have gone through frequently point out that the main pathogenesis is not host factors but rather technical ones; besides, most accurate reason is that a large trocar size, leaving the fascial defect open, and stretching the port site were closely related to the occurrence of trocar site hernias.
The highlight of this review article is that the drain sites can possibly be one of the sources for bowel complications. We recommend closure of all 10 mm ports. If an intraperitoneal drain is necessary, it should be placed through a 5 mm port only.
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