You have accessJournal of UrologyTechnology & Instruments: Robotics/Laparoscopy/Ureteroscopy II1 Apr 2010893 PORT-SITE HERNIAS OCCURRING AFTER THE USE OF BLADELESS RADIALLY EXPANDING TROCARS Edmund Chiong, Paul K. Hegarty, John W. Davis, Ashish M. Kamat, Louis L. Pisters, and Surena F. Matin Edmund ChiongEdmund Chiong Singapore, Singapore More articles by this author , Paul K. HegartyPaul K. Hegarty London, United Kingdom More articles by this author , John W. DavisJohn W. Davis Houston, TX More articles by this author , Ashish M. KamatAshish M. Kamat Houston, TX More articles by this author , Louis L. PistersLouis L. Pisters Houston, TX More articles by this author , and Surena F. MatinSurena F. Matin Houston, TX More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1649AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare and review the incidence of port-site hernias after use of bladeless radially dilating trocars after noticing a unique hernia entity developing in patients. METHODS We retrospectively identified patients who were diagnosed or treated for postoperative hernias at our institution between 2004 and 2007 using a departmental morbidity database. All patients had laparoscopic urologic surgery for malignant conditions using bladeless radially dilating trocars. RESULTS Of 1055 consecutive patients who underwent laparoscopic urologic oncology surgery between 2004 and 2007, a total of 7 patients (0.66%) were identified with trocar-site hernias. All hernias occurred in port sites using 12-mm bladeless radially dilating trocars without fascial closure. All hernias were confirmed by computed tomography of the abdomen and 6 by surgical findings. Of the 7 patients, 4 had an intrafascial incisional hernia; the small bowel herniated through a defect in the transversalis and internal oblique fasciae, but the external oblique fascia was intact. The intrafascial hernias were not evident on physical examination owing to an intact external oblique fascia. CONCLUSIONS While rare, trocar-site herniation after use of bladeless radially dilating trocars is a potentially serious complication of laparoscopic surgery. A large proportion of these may be partial-wall or intrafascial hernias. It is important to increase awareness among laparoscopic surgeons of the possibility of intrafascial incisional hernias, as physical findings are subtle and early computed tomography diagnosis is necessary for timely surgical intervention. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e349 Peer Review Report Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Edmund Chiong Singapore, Singapore More articles by this author Paul K. Hegarty London, United Kingdom More articles by this author John W. Davis Houston, TX More articles by this author Ashish M. Kamat Houston, TX More articles by this author Louis L. Pisters Houston, TX More articles by this author Surena F. Matin Houston, TX More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...