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[Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery].
Chirurg. 2002 Sep; 73(9):899-904.C

Abstract

With increasing numbers of laparoscopic procedures more postoperative trocar site hernias can be expected. This complication of minimally invasive surgery is rare but potentially dangerous. According to the literature, the overall incidence of trocar site hernias is expected to be around 1%. Among trocar site hernias, Richter's hernias are the most frequent, accounting for two-thirds of all small intestinal hernias. The following risk factors for the development of trocar site hernias have been identified: the trocar diameter, the trocar design, preexisting fascial defects, and some operation- and patient-related factors. Peritoneal and fascial closure should be done when blunt trocars of >10 mm have been employed. Based on the literature and our own experience, some preventive recommendations are given to further reduce the risk of hernia formation at trocar sites.

Authors+Show Affiliations

Klinik für Viszerale und Transplantationschirurgie, Universität Bern, Inselspital, Bern, Schweiz, Germany.No affiliation info available

Pub Type(s)

Journal Article

Language

ger

PubMed ID

12297955

Citation

Holzinger, F, and C Klaiber. "[Trocar Site Hernias. a Rare but Potentially Dangerous Complication of Laparoscopic Surgery]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 73, no. 9, 2002, pp. 899-904.
Holzinger F, Klaiber C. [Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery]. Chirurg. 2002;73(9):899-904.
Holzinger, F., & Klaiber, C. (2002). [Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 73(9), 899-904.
Holzinger F, Klaiber C. [Trocar Site Hernias. a Rare but Potentially Dangerous Complication of Laparoscopic Surgery]. Chirurg. 2002;73(9):899-904. PubMed PMID: 12297955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery]. AU - Holzinger,F, AU - Klaiber,C, PY - 2002/9/26/pubmed PY - 2003/2/11/medline PY - 2002/9/26/entrez SP - 899 EP - 904 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 73 IS - 9 N2 - With increasing numbers of laparoscopic procedures more postoperative trocar site hernias can be expected. This complication of minimally invasive surgery is rare but potentially dangerous. According to the literature, the overall incidence of trocar site hernias is expected to be around 1%. Among trocar site hernias, Richter's hernias are the most frequent, accounting for two-thirds of all small intestinal hernias. The following risk factors for the development of trocar site hernias have been identified: the trocar diameter, the trocar design, preexisting fascial defects, and some operation- and patient-related factors. Peritoneal and fascial closure should be done when blunt trocars of >10 mm have been employed. Based on the literature and our own experience, some preventive recommendations are given to further reduce the risk of hernia formation at trocar sites. SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/12297955/[Trocar_site_hernias__A_rare_but_potentially_dangerous_complication_of_laparoscopic_surgery]_ L2 - https://dx.doi.org/10.1007/s00104-002-0525-2 DB - PRIME DP - Unbound Medicine ER -