Observational studyBMC surgery2020
Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study.
Observational study in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04410744 (Incidence and Risk Factors for Trocar Site Incisional Hernia Detected by Clinical and Ultrasonographic Examination.), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Incidence and Risk Factors for Trocar Site Incisional Hernia Detected by Clinical and Ultrasonographic Examination.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Port-site hernia following laparoscopic gynecological surgery: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Fascial closure versus non-closure of laparoscopic port sites: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- A Comprehensive Review of Port-Site Closure Methods: A Four-Decade-Challenge to an Unsolved Issue.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- 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
- Higher incidence of trocar site hernia with gallbladder extraction via umbilical versus epigastric trocar port: a multicentre retrospective analysis of laparoscopic cholecystectomy.Langenbeck's archives of surgery · 2025Article
- Why not vaginal?-Nationwide trends and surgical outcomes in low-risk hysterectomies: A retrospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Ultrasound Study of Trocar Site Hernia after Bariatric Surgery: Medium and Long-Term Follow-Up.Journal of abdominal wall surgery : JAWS · 2025Article
- A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy.AJOG global reports · 2024Article
- Sarcopenia and body fat change as risk factors for radiologic incisional hernia following robotic nephrectomy.Skeletal radiology · 2023Article
- Article
- Vermiform Appendix within Post-Laparoscopic Incisional Hernia: A Unique Case Report and Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Is fascial closure required for a 12-mm trocar? A comparative study on trocar site hernia with long-term follow up.World journal of clinical cases · 2023Article
- Trocar site hernia after gastric sleeve.Surgical endoscopy · 2022Article
- Transvaginal single-port versus multi-port laparoscopic sacrocolpopexy: a retrospective cohort study.BMC surgery · 2022Article
- Thoughts on Trocar Site Hernia Prevention. A Narrative Review.Journal of abdominal wall surgery : JAWS · 2022Review
- Comparison of the Effectiveness of Ultrasound Imaging and Perioperative Measurement in the Diagnosis and Characterization of Incisional Hernia.Journal of medical ultrasoundArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrocar site incisional hernia (TSIH) is the most frequent complication associated with laparoscopic surgery. Few studies currently describe its incidence or risk factors. The aim of this report is to determine the real incidence of TSIH and to identify risk factors.
methodsA cross-sectional prospective study was performed including consecutive patients who underwent a laparoscopic procedure during a 4 months period. All the patients were assessed both clinically (TSIHc) and by an ultrasonographic examination (TSIHu). The main variable studied was the incidence of TSIH. A multivariate analysis was performed to identify risk factors.
results76 patients were included. 27.6% of patients were clinically diagnosed as having TSIH (TSIHc) but only 23.7% of those cases were radiologically confirmed (TSIHu). In the logistic regression analysis, age > 70 years (OR 3.462 CI 1.14-10.515, p = 0.028) and body mass index (BMI) ≥ 30 kg/m
conclusionsTSIH is under-diagnosed due to the lack of related symptomatology and the inadequacy of the postoperative follow-up period. We detected discrepancies between the clinical and ultrasonographic examinations. TSIHu should be considered as the gold standard for the diagnosis of TSIH. Risk factors such as age, BMI and size of the trocar were confirmed. Patients should be followed-up for a minimum of 2 years. Trial registration The study has been retrospectively registered in Clinicaltrials.gov on June 4, 2020 under registration number: NCT04410744.
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