Evidence map›Paper›PMID 40072729›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Mind the gap: pre-operative diastasis recti increases trocar site hernia risk after laparoscopic cholecystectomy.

Sarah Lund, Maxwell Mirande, Cecilia Mitchell, Clark Zheng, Sanjna Rajput, Erica Loomis, Stephanie Heller, Henry Schiller, Daniel Stephens, Mariela Rivera

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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Sarah LundDepartment of Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. lund.sarah@mayo.edu.ORCID 0000-0003-2214-5916
Maxwell MirandeDepartment of Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.
Cecilia MitchellMayo Clinic Alix School of Medicine, Rochester, MN, USA.
Clark ZhengMayo Clinic Alix School of Medicine, Rochester, MN, USA.
Sanjna RajputMayo Clinic Alix School of Medicine, Rochester, MN, USA.
Erica LoomisDivision of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Stephanie HellerDivision of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Henry SchillerDivision of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Daniel StephensDivision of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Mariela RiveraDivision of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTrocar site hernias impact 1-10% of patients undergoing a laparoscopic cholecystectomy, typically at the 10 mm port site. Risk factors identified for trocar site hernias include obesity and age; however, little is known about the impact of pre-existing diastasis rectus abdominus (DRA) on trocar site hernia rates. Therefore, we aimed to determine the impact of pre-operative DRA on trocar site hernia rates after laparoscopic cholecystectomy.

methodsWe conducted a retrospective review of patients undergoing a laparoscopic cholecystectomy for benign gallbladder disease at a single institution from January 2010 to May 2020. CT scan review was used to determine the presence of pre-operative DRA and to diagnose trocar site hernia. Logistic regression was used to determine the factors associated with development of a trocar site hernia.

resultsOf the 2,460 patients who underwent a laparoscopic cholecystectomy, 545 (22%) had both a pre- and post-operative CT scan and were included in analysis, with a 1.5 year median length of follow-up. Overall, 434 patients (80%) had pre-operative DRA and 88 patients (16%) developed a trocar site hernia. On logistic regression, presence of DRA was significantly associated with development of a trocar site hernia (OR = 4.12, 95% CI=[1.72,12.24], p = 0.004), while controlling for location of 10 mm port, BMI, age, sex, ASA classification, smoking status, whether surgery was elective, and presence of pre-operative umbilical hernia.

conclusionsRadiologic diagnosis of both DRA and a trocar site hernia is highly prevalent within patients who undergo a laparoscopic cholecystectomy. Further, the presence of pre-operative DRA is significantly associated with development of a trocar site hernia after laparoscopic cholecystectomy.

Indexed as

Cholecystectomy, LaparoscopicIncisional HerniaRectus AbdominisAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSurgical InstrumentsTomography, X-Ray ComputedDiastasis rectiIncisional herniaLaparoscopic cholecystectomyVentral hernia

Identifiers

PMID40072729

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.