Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study

Background The aim of this retrospective study was to assess the incidence of trocar site hernias (TSH) following laparoscopic cholecystectomy (LC) through a long-term follow-up and to elucidate the significance of several technical and patient-related factors. Methods A total of 313 patients submit...

Full description

Saved in:
Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2012-08, Vol.16 (4), p.431-437
Main Authors: Erdas, E., Dazzi, C., Secchi, F., Aresu, S., Pitzalis, A., Barbarossa, M., Garau, A., Murgia, A., Contu, P., Licheri, S., Pomata, M., Farina, G.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adolescent
Adult
Aged
Aged, 80 and over
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - instrumentation
Female
Follow-Up Studies
Gallbladder Diseases - surgery
Hernia, Ventral - epidemiology
Hernia, Ventral - etiology
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Retrospective Studies
Risk Factors
Surgical Instruments - adverse effects
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The aim of this retrospective study was to assess the incidence of trocar site hernias (TSH) following laparoscopic cholecystectomy (LC) through a long-term follow-up and to elucidate the significance of several technical and patient-related factors. Methods A total of 313 patients submitted to LC between 2000 and 2004 were included in our study. The pneumoperitoneum was always performed by means of Hasson’s technique at the umbilical site and the operative trocars were positioned using either the American technique or the French technique. Closure of the fascial defect was performed only at the umbilical site. The effects of several variables, including age, gender, size of gallstones, co-existing umbilical hernia, complexity of operation, diabetes, obesity, malnutrition, smoking, and heavy manual work on the development of TSH were assessed by univariate and multivariate models. Results Thirteen cases of TSH (4.1 %) were detected over a mean follow-up period of 89.8 months (range: 60–128). Of these, 11 (84.6 %) developed at the umbilicus and 2 at the 10 mm subxiphoid site (15.4 %). At univariate and multivariate analysis, gallstones ≥2 cm ( p  = 0.030; OR = 9.95, p  = 0.01) and obesity ( p  = 0.002; OR = 22.93, p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-012-0929-y