Smoking History and the Development of Incisional Umbilical Hernia After Laparoscopic and Laparoendoscopic Single-Site Cholecystectomy

• Published in: The American surgeon 2023-08, Vol.89 (8), p.3501-3502
• Main Authors: Sardzinski, Emily E., Roberts, Addison P., Malat, Jaclyn P., King, Natalie E., Oulton, Zachary W., Janta-Lipinska, Joanna, Kalathia, Chris A., Hamilton, Jakob S., Brown, Zachary G., Dornas, Hannah B., Toomey, Paul G.
• Format: Article
• Language: English
• Subjects: Cholecystectomy - adverse effects; Cholecystectomy, Laparoscopic - adverse effects; Hernia, Umbilical - epidemiology; Hernia, Umbilical - etiology; Hernia, Umbilical - surgery; Humans; Incisional Hernia - surgery; Laparoscopy - adverse effects; Retrospective Studies; Smoking - adverse effects
• ISSN: 0003-1348; 1555-9823
• DOI: 10.1177/00031348231161708

The aim of this study was to analyze umbilical hernia occurrences in patients who underwent laparoscopic or laparoendoscopic single-sight (LESS) cholecystectomy. Patients who underwent cholecystectomy by a single surgeon between 2015 and 2020 were surveyed. Data are presented as median (mean +/− standard deviation). Two hundred and fifty-three patients were sent the survey and 130 (51%) patients responded. The overall age was 57 (31 +/− 18) and the overall BMI was 30 (31 +/− 7). Twelve (9%) patients developed an umbilical hernia. Seventeen patients were active smokers and four (24%) developed an umbilical hernia. One hundred and thirteen patients were inactive smokers and eight (7%) developed an umbilical hernia. There was a statistical significance between umbilical hernia occurrence and smoking history (P < .05). Active smokers have a higher risk of developing an umbilical hernia following a minimally invasive cholecystectomy, regardless of operative approach. Elective cholecystectomy should be reconsidered for current smokers.