Boldó E, Perez de Lucia G, Aracil JP, Martin F, Escrig J, Martinez D, Miralles JM, Armelles A. Trocar site hernia after laparoscopic ventral hernia repair.
Surg Endosc 2006;
21:798-800. [PMID:
17177087 DOI:
10.1007/s00464-006-9015-9]
[Citation(s) in RCA: 41] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2006] [Revised: 05/10/2006] [Accepted: 06/11/2006] [Indexed: 11/26/2022]
Abstract
BACKGROUND
The incidence of trocar site hernia (TSH) after laparoscopic ventral hernia repair (LVHR) is reported to be low. The present study investigates the associated risk factors, with a view to preventing this complication.
METHODS
A retrospective study was made of the incidence of TSH in a personal series of LVHR, recording anthropometric and clinical data on the patients. Risk factors were assessed by bivariate and multivariate analyses. The patients were subjected to clinical and telephone follow-up.
RESULTS
In a series of 27 LVHR, the incidence of TSH was 22% (6 patients). The use of meshes larger than 10 x 15 cm for LVHR was the only TSH risk factor to reach statistical significance. Female gender and diabetes showed a higher incidence in the TSH group.
CONCLUSIONS
The use of large meshes may be a risk factor for TSH. We believe this to be due to dilatation of the trocar orifice during introduction of the mesh, and also to postoperative retraction of the mesh.
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