Tags

Type your tag names separated by a space and hit enter

Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair.
JSLS 2008 Apr-Jun; 12(2):206-9JSLS

Abstract

BACKGROUND AND OBJECTIVES

Trocar-site incisional hernia following laparoscopic ventral hernia repair is reported to have a relatively high incidence. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The aim of this article to show a new technique of ventral hernia repair that could prevent trocar site incisional hernia.

METHODS

After establishing the pneumoperitoneum, three 5-mm ports are inserted in positions according to the site and size of the hernia. The procedure begins by dissection of the adhesions of bowel loops or omentum (if any) from the hernia to clear a good margin for mesh coverage. Then a single 10-mm to 15-mm port (mesh insertion port) is inserted in the center of the ventral hernia depending on the size of the mesh. The mesh is fixed in position with a 5-mm tacker. The peritoneum and underlying superficial fascia are carefully closed before closing the skin.

RESULTS

A total of 35 patients were recruited for this method. The mean hospital stay was 1.5 days, the mean age was 50.35 years and the mean operative time was 40 minutes. In all patients, 10x15-cm ePTFE was used. No single incidence of trocar-site incisional hernia occurred during a mean follow-up of 2 years. Three (8.57%) patients developed complications and no mortality was reported.

CONCLUSION

The mesh introduction through the port, which is situated at the center of the hernia defect is a simple, cost-effective technique and will prevent trocar-site incisional hernia.

Authors+Show Affiliations

Department of General Surgery, Princess Royal University Hospital, Kent, United Kingdom. azahrahussain@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18435900

Citation

Hussain, A, et al. "Prevention of Trocar Site Incisional Hernia Following Laparoscopic Ventral Hernia Repair." JSLS : Journal of the Society of Laparoendoscopic Surgeons, vol. 12, no. 2, 2008, pp. 206-9.
Hussain A, Mahmood H, Shuaib S, et al. Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. JSLS. 2008;12(2):206-9.
Hussain, A., Mahmood, H., Shuaib, S., & El-Hasani, S. (2008). Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 12(2), pp. 206-9.
Hussain A, et al. Prevention of Trocar Site Incisional Hernia Following Laparoscopic Ventral Hernia Repair. JSLS. 2008;12(2):206-9. PubMed PMID: 18435900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. AU - Hussain,A, AU - Mahmood,H, AU - Shuaib,S, AU - El-Hasani,S, PY - 2008/4/26/pubmed PY - 2008/8/30/medline PY - 2008/4/26/entrez SP - 206 EP - 9 JF - JSLS : Journal of the Society of Laparoendoscopic Surgeons JO - JSLS VL - 12 IS - 2 N2 - BACKGROUND AND OBJECTIVES: Trocar-site incisional hernia following laparoscopic ventral hernia repair is reported to have a relatively high incidence. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The aim of this article to show a new technique of ventral hernia repair that could prevent trocar site incisional hernia. METHODS: After establishing the pneumoperitoneum, three 5-mm ports are inserted in positions according to the site and size of the hernia. The procedure begins by dissection of the adhesions of bowel loops or omentum (if any) from the hernia to clear a good margin for mesh coverage. Then a single 10-mm to 15-mm port (mesh insertion port) is inserted in the center of the ventral hernia depending on the size of the mesh. The mesh is fixed in position with a 5-mm tacker. The peritoneum and underlying superficial fascia are carefully closed before closing the skin. RESULTS: A total of 35 patients were recruited for this method. The mean hospital stay was 1.5 days, the mean age was 50.35 years and the mean operative time was 40 minutes. In all patients, 10x15-cm ePTFE was used. No single incidence of trocar-site incisional hernia occurred during a mean follow-up of 2 years. Three (8.57%) patients developed complications and no mortality was reported. CONCLUSION: The mesh introduction through the port, which is situated at the center of the hernia defect is a simple, cost-effective technique and will prevent trocar-site incisional hernia. SN - 1086-8089 UR - https://www.unboundmedicine.com/medline/citation/18435900/Prevention_of_trocar_site_incisional_hernia_following_laparoscopic_ventral_hernia_repair_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18435900/ DB - PRIME DP - Unbound Medicine ER -