ArticleGynecologic oncology2013
Incidence of trocar site herniation following robotic gynecologic surgery.
Article in Gynecologic oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Port-site hernia following laparoscopic gynecological surgery: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Single-incision surgery trocar-site hernia: an updated systematic review meta-analysis with trial sequential analysis by the Minimally Invasive Surgery Synthesis of Interventions Outcomes Network (MISSION).Surgical endoscopy · 2018Pooled it
- Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2016Pooled it
- European Hernia Society guidelines on the closure of abdominal wall incisions.Hernia : the journal of hernias and abdominal wall surgery · 2015Guideline
- Spigelian Hernia Following Laparoscopic Hysterectomy: Case Report and Review of the Literature.Cureus · 2025Article
- Are we creating a hernia to fix a hernia: long-term hernia rates following robotic inguinal hernia repair.Surgical endoscopy · 2025Article
- An 8-mm trocar-site hernia at a drainage insertion site after a three-port robotic myomectomy: case report and review of literature.Journal of surgical case reports · 2024Article
- Single-Incision versus Multiport Robotic Myomectomy: A Propensity Score Matched Analysis of Surgical Outcomes and Surgical Tips.Journal of clinical medicine · 2021Article
- Incidence of acute postoperative robotic port-site hernias: results from a high-volume multispecialty center.Journal of robotic surgery · 2021Article
- Does closure of fascia, type, and location of trocar influence occurrence of port site hernias? A literature review.Surgical endoscopy · 2020Review
- Severe bowel incarceration in an eight-millimeter left-lateral trocar site after robot-assisted laparoscopic colposacropexy: A case report.Case reports in women's health · 2019Article
- Is the 8-mm robotic port safe? A case of trocar site hernia after robotic cholecystectomy using the da Vinci Xi system.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Port site hernias following robotic colorectal surgery in people with obesity.BMJ case reports · 2018Article
- Trocar site hernia development in patients undergoing robotically assisted or standard laparoscopic staging surgery for endometrial cancer.Gynecologic oncology · 2017Article
- Robotic single-site adrenalectomy.Surgical endoscopy · 2016Article
- Herniation formation in women undergoing robotically assisted laparoscopy or laparotomy for endometrial cancer.Gynecologic oncology · 2016Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTrocar site herniation is a recognized complication of minimally invasive surgery, but published data on trocar site herniation after robotic surgery are scarce. We sought to determine the incidence of trocar site herniation in women undergoing robotic surgery for gynecologic disease.
methodsA retrospective review of robotic surgeries performed from January 1, 2006, through December 31, 2012, was conducted. Postoperative trocar site herniations were identified, along with time to presentation, location of herniation, and management. Patients were excluded if surgery was converted to laparotomy or traditional laparoscopy. The Wilcoxon rank-sum test was used to compare patients with and without herniation with respect to continuous variables, and Fisher's exact test was used to compare these 2 groups with respect to categorical variables.
resultsThe study included 500 patients, 3 of whom experienced herniation at a single trocar site. The patients with and without herniation did not differ with respect to age, body mass index, smoking status, medical comorbidities, operating time, or estimated blood loss. All 3 herniations occurred at 12-mm trocar sites. Two herniations occurred at assistant port sites, and 1 occurred at the umbilical camera port site. The median time to herniation was 21 days (range, 8-38 days). One patient required immediate surgical intervention; the other 2 patients had conservative management.
conclusionsTrocar site herniation is a rare complication following robotic surgery. The most important risk factor for trocar site herniation appears to be larger trocar size, as all herniations occurred at 12-mm port sites.
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