ArticleHernia : the journal of hernias and abdominal wall surgery2016
Influencing factors for port-site hernias after single-incision laparoscopy.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparison of single-incision and traditional laparoscopic surgery for the risk of incisional hernia: a systematic review and meta-analysis of randomized controlled trials.Updates in surgery · 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-port robotic cholecystectomy using the da Vinci SP system versus single-port laparoscopic cholecystectomy: comparative clinical outcomes.Surgical endoscopy · 2026Article
- Robotic laparoendoscopic single-site surgery by da Vinci Xi system in gynecology: a retrospective series of 721 cases.BMC surgery · 2025Article
- High Prevalence of Cholelithiasis in Umbilical Hernia Patients and Vice Versa: A Prospective Multicenter Study.Cureus · 2025Article
- Exploration of umbilical hernia incidence and etiology in 753 cases of single-incision laparoscopic surgery: a retrospective analysis.BMC surgery · 2025Article
- Transvaginal natural orifice transluminal endoscopic surgery for tubal ectopic pregnancy(vNOTESTEP): a protocol for a randomized controlled trial.BMC pregnancy and childbirth · 2025Article
- Efficacy of transumbilical laparoendoscopic single-site surgery versus multi-port laparoscopic surgery for endometrial cancer: a retrospective comparison study.Frontiers in oncology · 2023Article
- Comparison of short- and long-term postoperative occurrences after robotic single-incision cholecystectomy versus multiport laparoscopic cholecystectomy.Surgical endoscopy · 2022Article
- Long-term outcomes of single-incision versus multiport laparoscopic colectomy for colon cancer: results of a propensity score-based analysis.Surgical endoscopy · 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
- Incidence of acute postoperative robotic port-site hernias: results from a high-volume multispecialty center.Journal of robotic surgery · 2021Article
- Incisional hernia after 2498 single-port access (SPA) gynecologic surgery over a 10-year period.Scientific reports · 2020Article
- Updated outcomes of laparoscopic versus open umbilical hernia repair in patients with obesity based on a National Surgical Quality Improvement Program review.Surgical endoscopy · 2020Article
- True single-port cholecystectomy with ICG cholangiography through a single 15-mm trocar using the new surgical platform "symphonX": first human case study with a commercially available device.Surgical endoscopy · 2020Article
- Consecutive Versus Selective Primary and Revisional Single Incision Laparoscopic Bariatric Surgery: Personal Experience in 330 Cases.Obesity surgery · 2020Article
- Incidence and Risk Factors for Deep Vein Thrombosis after Radiofrequency and Laser Ablation of the Lower Extremity Veins.Annals of vascular surgery · 2020Article
- Long-term follow-up after single-incision laparoscopic surgery.Surgical endoscopy · 2020Article
- Clinical impact of single-incision laparoscopic right hemicolectomy with intracorporeal resection for advanced colon cancer: propensity score matching analysis.Surgical endoscopy · 2019Article
- 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
purposeSingle-incision laparoscopic surgery (SILS) has been demonstrated to be a feasible alternative to multiport laparoscopy, but concerns over port-site incisional hernias have not been well addressed. A retrospective study was performed to determine the rate of port-site hernias as well as influencing risk factors for developing this complication.
methodsA review of all consecutive patients who underwent SILS over 4 years was conducted using electronic medical records in a multi-specialty integrated healthcare system. Statistical evaluation included descriptive analysis of demographics in addition to bivariate and multivariate analyses of potential risk factors, which were age, gender, BMI, procedure, existing insertion-site hernia, wound infection, tobacco use, steroid use, and diabetes.
results787 patients who underwent SILS without conversion to open were reviewed. There were 454 cholecystectomies, 189 appendectomies, 72 colectomies, 21 fundoplications, 15 transabdominal inguinal herniorrhaphies, and 36 other surgeries. Cases included 532 (67.6 %) women, and among all patients mean age was 44.65 (±19.05) years and mean BMI of 28.04 (±6). Of these, 50 (6.35 %) patients were documented as developing port-site incisional hernias by a health care provider or by incidental imaging. Of the risk factors analyzed, insertion-site hernia, age, and BMI were significant. Multivariate analysis indicated that both preexisting hernia and BMI were significant risk factors (p value = 0.00212; p value = 0.0307). Morbidly obese patients had the highest incidence of incisional hernias at 18.18 % (p value = 0.02).
conclusionsWhen selecting patients for SILS, surgeons should consider the presence of an umbilical hernia, increased age and obesity as risk factors for developing a port-site hernia.
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Registered trials
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