Abstract
Incisional Hernia in a 12 mm Non-Bladed Trocar Site Following Laparoscopic Nephrectomy
Highlights
Nonbladed trocars, radially dilating systems, and conical blunt devices are considered less traumatic to the abdominal wall because they do not incise the fascia itself
We report a case in which a port site hernia was diagnosed at the site of a 12-mm, nonbladed trocar 11 days after laparoscopic nephrectomy
Several investigators have examined the incidence of incisional hernias after the use of nonbladed laparoscopic trocars without fascial closure
Summary
Radially dilating systems, and conical blunt devices are considered less traumatic to the abdominal wall because they do not incise the fascia itself. The tissue fibers are arrayed in a criss-cross fashion as the trocar stretches the fibers of the fascia. Since the fascia is not cut, it is believed that the fascia closes by itself. It has been postulated that the misalignment of the fascial defects may inhibit herniation[1]. Several authors have suggested that closure of the abdominal fascia may be unnecessary when such nonbladed, laparoscopic trocars are used[2,3]. We report a case in which a port site hernia was diagnosed at the site of a 12-mm, nonbladed trocar 11 days after laparoscopic nephrectomy
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