ArticleSurgical endoscopy2016
Incisional hernia after single-incision laparoscopic cholecystectomy: incidence and predictive factors.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Surgical synergy or complication catalyst? Evaluating a meta-analysis of concomitant bariatric surgery and ventral hernia repair.Surgical endoscopy · 2025Pooled it
- The impact of comorbidities and surgical approach in incisional hernia development after minimally invasive cholecystectomy: a systematic review and meta-analysis of multivariate regression-adjusted studies.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Laparoscopic surgery and robotic surgery for single-incision cholecystectomy: an updated systematic review.Updates in surgery · 2021Pooled 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
- Randomized controlled trial of single incision versus conventional multiport laparoscopic cholecystectomy with long-term follow-up.Langenbeck's archives of surgery · 2020Trial
- Incisional hernia after laparoscopic and robotic donor nephrectomy: analysis of 325 consecutive donors.Surgical endoscopy · 2026Article
- A retrospective study to investigate the effect of pressurized incision dressing on the occurrence of incisional infection after laparoscopic cholecystectomy.Surgery in practice and science · 2025Article
- Global pattern, trend and cross-country inequalities of inguinal, femoral, and abdominal hernia among individuals aged 60 and above from 1990 to 2021 and projections until 2040: a population-based study.Surgical endoscopy · 2025Article
- Research progress in the treatment of gallstones with laparoscopic and endoscopic surgery: a narrative review.BMC surgery · 2025Review
- Exploration of umbilical hernia incidence and etiology in 753 cases of single-incision laparoscopic surgery: a retrospective analysis.BMC surgery · 2025Article
- Evolution of minimally invasive cholecystectomy: a narrative review.BMC surgery · 2024Review
- Incidence and risk factors for umbilical incisional hernia after reduced port colorectal surgery (SIL + 1 additional port)-is an umbilical midline approach really a problem?Langenbeck's archives of surgery · 2022Article
- Risk factors of incisional hernia after single-incision cholecystectomy and safety of barbed suture material for wound closure.Journal of minimally invasive surgery · 2021Article
- Incisional hernia after minimally invasive gastrectomy in gastric cancer patients.Journal of minimally invasive surgery · 2021Article
- Incidence of incisional hernia after laparoscopic liver resection.Surgical endoscopy · 2021Article
- Comparison of Survival between Single-Access and Conventional Laparoscopic Surgery in Rectal Cancer.Minimally invasive surgery · 2021Article
- Incisional hernia after 2498 single-port access (SPA) gynecologic surgery over a 10-year period.Scientific reports · 2020Article
- Consecutive Versus Selective Primary and Revisional Single Incision Laparoscopic Bariatric Surgery: Personal Experience in 330 Cases.Obesity surgery · 2020Article
- Long-term follow-up after single-incision laparoscopic surgery.Surgical endoscopy · 2020Article
- Reduced-Port Sleeve Gastrectomy for Morbidly Obese Japanese Patients: a Retrospective Case-Matched Study.Obesity surgery · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo access the incidence and predictive factors of incisional hernia after single-incision laparoscopic cholecystectomy (SILC).
methodsEighty-two consecutive patients operated on for uncomplicated cholelithiasis between 2009 and 2013 were eligible for the study. Clinical outcome was assessed by a combination of case notes review, office consultation and telephone interview. Long-term incisional hernia rate was the major outcome of the study. Secondary outcome was the evaluation of predictive factors. Univariate and multivariate statistical analyses were performed using the following variables: age, gender, ASA score, BMI, risk, or comorbidity factors and surgical site infection.
resultsSix patients (7 %) were lost to follow-up after the 1-month office visit and excluded. The study group consisted of 16 men and 60 women with a median age of 42 years (range 18-69) and a BMI of 25 (range 19-34). Eight patients had risk or comorbidity factors, 46 were classified ASA I, and 30 ASA II. Early postoperative course was uneventful in all cases but two patients developed a superficial wound abscess after hospital discharge. With a median follow-up of 44 months (range 12-72), incisional hernia was noted in six patients (7.9 %). Multivariate logistic analysis revealed that age (OR 1.08, 95 % CI 1.00-1.16, p < 0.038) and BMI (OR 1.37, 95 % CI 1.03-1.82, p < 0.029) were independent predictive factors of developing an incisional hernia. The incidence of hernia was, respectively, 15 % in patients with an age ≥ 50 and 33 % in patients with a BMI ≥ 30.
conclusionAfter SILC, we noted an incisional hernia rate of 8 %. To decrease the risk of developing that specific complication, SILC should only be proposed to young and non-obese patients.
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