P-017 TROCAR SITE HERNIA: IS IT A MINOR PROBLEM ?

Abstract

Abstract Aim Describe the characteristics of a trocar site hernia (TSH) in our center. Materials and methods Descriptive retrospective observational study. Tertiary hospital center. Period: July 2018 - November 2022. Inclusion criteria: Patients operated on for TSH. We analyzed patient characteristics, type of the primary procedure (appendectomy, cholecystectomy or other), TSH data and characteristics of TSH repair. Results 150 patients were included. Patient data: 65.3% were women. Median age: 59.54 years. BMI <35 in 47%. BMI was higher in cholecystectomies than in appendectomies. 66% were ASA II. 31.3% were active smokers. Surgical primary procedures: 59.4% cholecystectomy, 17.3% appendectomy, 23.3% others. Surgical TSH time: 30–90 minutes (59.6%) and 36.7% were performed as an emergency procedure. TSH data: 85.3% were M3, mean size was 3.8 cm Time between primary surgery and TSH: 39.6 months. The size of the TSH only had a statistically relationship with the time between primary surgery and TSH diagnosis. Furthermore, 17.3% of the TSH were recurrences, of which 77% already had a mesh. 91% of the TSH were scheduled surgery, with a mean surgical time of 70 minutes. All were repaired with a mesh, 68.6% preperitoneal/medial retromuscular. Regarding complications, 7.4% presented after a month and 1.3% recurred after 6 months. Conclusions According to our data, the TSH is not a minor problem with high morbility and resource consumption. The rate of TSH is greater in obese women undergoing cholecystectomy. Perhaps a prophylactic mesh policy should consider in these cases.