ArticleJournal of abdominal wall surgery : JAWS2025
Ultrasound Study of Trocar Site Hernia after Bariatric Surgery: Medium and Long-Term Follow-Up.
Article in Journal of abdominal wall surgery : JAWS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Patients undergoing bariatric surgery have comorbidities and risk factors which favour incisional hernias. Bladeless trocars are safe and not very harmful, being the preferred choice without port closure. The objective of this study is to evaluate the true occurrence of trocar hernias (trocar site hernia) in these patients in medium and long term. Material and Methods: We made an observational, descriptive, longitudinal, and retrospective study in patients who underwent bariatric surgery by laparoscopy with 12 mm bladeless trocars without fascial closure. We selected patients who agreed to participate in the study between January 2015 and July 2016. We also collected data on risk factors, pain scale, and ultrasound of port-site by an expert radiologist in 2018 and 2022. Results: In the first period 45 patients were included, with a mean age of 49.9 years and an initial BMI of 45.5 kg/m Conclusion: The incidence of trocar hernia in the medium and long term in postoperative bariatric surgery with 12 mm bladeless trocars without fascial closure is low, all of them being in the midline and paucity of symptoms. Our primary approach involves abstaining from closing the transmuscular accesses, deeming it unnecessary, while evaluating the closure or lateralization of the midline trocar.
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