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Incidence of Port-Site Incisional Hernia After Single-Incision Laparoscopic Surgery

Authors :
Harvey Rainville
Emmanuel Atta Agaba
Pratibha Vemulapali
Ojinika Ikedilo
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.

Details

ISSN :
19383797 and 10868089
Volume :
18
Database :
OpenAIRE
Journal :
JSLS : Journal of the Society of Laparoendoscopic Surgeons
Accession number :
edsair.doi.dedup.....55c6770dcf011bc25291b48c4bba37cb