Abstract
Trocar site hernia (TSH) is an incisional hernia occurring at the trocar insertion sites after different types of laparoscopic surgeries. The aim of this study is to present characteristics of patient and surgery series with trocar site hernia after laparoscopic cholecystectomy. A 2930 consecutive patients underwent laparoscopic cholecystectomy in two major university- affiliated hospitals from April 2014 to March 2018 and the patient followed up for variable periods of time. Retrospective medical chart review to study trocar site hernia including patient, operation, instruments, and pathologic characteristics described. Six patients had trocar site hernia (incidence 0.20%), the hernias occurred mostly at the umbilical port site after using 10 mm trocar. Risk factors included mainly obesity, female gender and use of 10 mm trocars at midline sites. TSH is more described. It occurs mostly at the umbilical port site. Major risk factors include obesity, diabetes mellitus, lengthy procedure, extension of entry site, and wound infection. Closure of fascial defect is supposed to reduce the incidence despite weak evidence.
Highlights
Laparoscopic cholecystectomy (LC) was performed for the first time by Erich Mühe of Boblingen, Germany on September 12, 19851
We present our observations regarding Trocar site hernia (TSH) after 2930 cases of LC
LC is the most common laparoscopic procedure performed worldwide, and like other types of laparoscopic surgery, it is responsible for the development of a new type of incisional hernia occurring at the insertion site of the trocar, the so-called trocar site hernia (TSH) as defined by Crist and Gadacz[4]
Summary
Laparoscopic cholecystectomy (LC) was performed for the first time by Erich Mühe of Boblingen, Germany on September 12, 19851. It is the standards surgical treatment for gallbladder stone disease (GBSD) and stood the test of time regarding reduced postoperative pain, decreased hospital stay, earlier return to work, and much more cosmetic scars. The trocar site hernia was reported for the first time in the late 1960s of the last century in a series of patients underwent laparoscopic gynecologic procedures[2]. Variable several studies were published addressing laparoscopic surgery complications including trocar site hernia. We present our observations regarding TSH after 2930 cases of LC
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