ArticleSurgical endoscopy2021
Trocar-site incisional hernia after laparoscopic colorectal surgery: a significant problem? Incidence and risk factors from a single-center cohort.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Assessment of the effectiveness of a polypropylene onlay mesh in the prevention of laparoscopic trocar-site incisional hernia in high-risk patients. A randomized clinical trial.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- Prevention with Sublay Mesh of Trocar Site Hernia (PRESUME): Study Protocol for a Multicenter Randomized Controlled Trial.Journal of abdominal wall surgery : JAWS · 2026Article
- Article
- Incidence of ventral hernia surgery after laparoscopic bariatric surgery in Sweden: a registry-based study 2009-2019.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Ultrasound Study of Trocar Site Hernia after Bariatric Surgery: Medium and Long-Term Follow-Up.Journal of abdominal wall surgery : JAWS · 2025Article
- Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery.World journal of gastrointestinal surgery · 2024Article
- Thoughts on Trocar Site Hernia Prevention. A Narrative Review.Journal of abdominal wall surgery : JAWS · 2022Review
- Postinsufflation Optical Entry via Veress Access in the Left Upper Quadrant: Safety and Outcomes.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrocar-site incisional hernia (TSIH) after laparoscopic surgery has been scarcely studied. TSIH incidence and risk factors have never been properly studied for laparoscopic colorectal surgery.
methodsA retrospective analytic study in a tertiary hospital was performed including patients who underwent elective laparoscopic colorectal surgery between 2014 and 2016. Clinical and radiological TSIH were analyzed.
results272 patients with a mean age of 70.7 years were included. 205 (75.4%) underwent surgery for a malignant disease. The most common procedure was right colectomy (108 patients, 39.7%). After a mean follow-up of 30.8 months 64 (23.5%) patients developed a TSIH. However, only 7 out of 64 (10.9%) patients with a TSIH underwent incisional hernia repair. That means that 2.6% of all the patients underwent TSIH repair. 44 (68.8%) patients had TSIH in the umbilical Hasson trocar. In the multivariate analysis, the existence of an umbilical Hasson trocar orifice was the only statistically significant risk factor for TSIH development.
conclusionsIncidence of TSIH was high, although few patients underwent incisional hernia repair. Most TSIH were observed in the umbilical Hasson trocar, which was the only risk factor for TSIH development in the multivariate analysis. Efforts should be addressed to avoid TSIH in the umbilical Hasson trocar.
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