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Incidence of Port-Site Incisional Hernia After Single-Incision Laparoscopic Surgery
- Source :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Publication Year :
- 2014
- Publisher :
- The Society of Laparoscopic and Robotic Surgeons, 2014.
-
Abstract
- Background and objectives Single-incision laparoscopic surgery is gaining popularity among minimally invasive surgeons and is now being applied to a broad number of surgical procedures. Although this technique uses only 1 port, the diameter of the incision is larger than in standard laparoscopic surgery. The long-term incidence of port-site hernias after single-incision laparoscopic surgery has yet to be determined. Methods All patients who underwent a single-incision laparoscopic surgical procedure from May 2008 through May 2009 were included in the study. Single-incision laparoscopic surgical operations were performed either by a multiport technique or with a 3-trocar single-incision laparoscopic surgery port. The patients were seen at 30 to 36 months' follow-up, at which time they were examined for any evidence of port-site incisional hernia. Patients found to have hernias on clinical examination underwent repairs with mesh. Results A total of 211 patients met the criteria for inclusion in the study. The types of operations included were cholecystectomy, appendectomy, sleeve gastrectomy, gastric banding, Nissen fundoplication, colectomy, and gastrojejunostomy. We found a port-site hernia rate of 2.9% at 30 to 36 months' follow-up. Conclusion Port-site incisional hernia after single-incision laparoscopic surgical procedures remains a major setback for patients. The true incidence remains largely unknown because most patients are asymptomatic and therefore do not seek surgical aid.
- Subjects :
- Adult
Male
Laparoscopic surgery
medicine.medical_specialty
Sleeve gastrectomy
Port-site hernia
Incisional hernia
medicine.medical_treatment
Gastric Bypass
Bariatric Surgery
Fundoplication
Nissen fundoplication
Young Adult
Gastrectomy
Scientific Papers
medicine
Appendectomy
Humans
Incisional Hernia
Cholecystectomy
Hernia
Colectomy
SILS
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Incidence
General surgery
Middle Aged
medicine.disease
Laparoscopes
Surgery
Female
Laparoscopy
Single-incisional laparoscopic surgery
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 19383797 and 10868089
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Accession number :
- edsair.doi.dedup.....55c6770dcf011bc25291b48c4bba37cb