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Gorsky V.A.

Pirogov Russian National Research Medical University

Oettinger A.P.

Pirogov Russian National Research Medical University

Armashov V.P.

Pirogov Russian National Research Medical University

Azimov R.Kh.

Central Clinical Hospital of the Russian Academy of Sciences

Glushkov P.S.

Central Clinical Hospital of Russian Academy of Sciences

Shemyatovsky K.A.

Central Clinical Hospital of Russian Academy of Sciences

Trocar site hernia is a more common problem than we used to think

Authors:

Gorsky V.A., Oettinger A.P., Armashov V.P., Azimov R.Kh., Glushkov P.S., Shemyatovsky K.A.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2022;11(1): 13‑19

DOI: 10.17116/dokgastro20221101113

Read: 5538 times

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Table of contents

TROCAR SITE HERNIA IS A MORE COMMON PROBLEM THAN WE USED TO THINK
TROCAR SITE HERNIA IS A MORE COMMON PROBLEM THAN WE USED TO THINK

To cite this article:

Gorsky VA, Oettinger AP, Armashov VP, Azimov RKh, Glushkov PS, Shemyatovsky KA. Trocar site hernia is a more common problem than we used to think. Russian Journal of Evidence-Based Gastroenterology. 2022;11(1):13‑19. (In Russ.)
https://doi.org/10.17116/dokgastro20221101113

 
Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The most common complications of trocar wounds are postoperative trocar hernias and infringement of the organs.

OBJECTIVE

To establish risk factors of trocar-wound hernias and improve prevention of this complication.

MATERIAL AND METHODS

We analyzed two consecutive samples of patients to compare the incidence of trocar-wound hernias. Treatment outcomes were assessed in 399 patients.

RESULTS

A retrospective analysis of data was performed using the Spearman rank correlation coefficient. The following significant risk factors of trocar-wound hernias were found: age over 60 years, body mass index > 30 kg/m2, connective tissue dysplasia, wound suppuration. Three out of four risk factors were non-modifiable, and only local surgical infection was classified as a modifiable factor.

CONCLUSION

The main non-modifiable risk factors of trocar-wound hernias are age over 60 years, body mass index over 30 kg/m2 and connective tissue dysplasia. Modifiable factors include wound closure technique and local complications. The authors proposed preventive measures including trocar wound suturing through all layers of anterior abdominal wall using Endo Close and Berci devices. Encouraging results with reduction of the incidence of trocar-wound hernias up to 1.49% were obtained.

Keywords:

abdominal wall
surgical wound
trocar hernia
trocar wound
laparoscopy

Authors:

Gorsky V.A.

Pirogov Russian National Research Medical University

Oettinger A.P.

Pirogov Russian National Research Medical University

Armashov V.P.

Pirogov Russian National Research Medical University

Azimov R.Kh.

Central Clinical Hospital of the Russian Academy of Sciences

Glushkov P.S.

Central Clinical Hospital of Russian Academy of Sciences

Shemyatovsky K.A.

Central Clinical Hospital of Russian Academy of Sciences

Received:

28.11.2021

Accepted:

12.01.2022

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References:

  1. Hernandez SM, Kiselak EA, Zielonka T, Tucker S, Blatt M, Perez JM, Kaul S, Dayal S, Sharma J, Dalal S, Rippey K, Kuo YH, Cohn SM. Umbilical fascial defects are common and predict trocar site hernias after laparoscopic appendectomy. The American Surgeon. 2021;3134821995063. https://doi.org/10.1177/0003134821995063
  2. Dapri G. 10-year experience with 1700 single-incision laparoscopies. Surgical Technology International. 2019;35:71-83. 
  3. Mancini M, Righetto M, Dal Moro F, Zattoni F. Incidence and treatment of incarcerated trocar-site hernias after robotic surgery: Presentation of three cases. Journal of Endourology Case Reports. 2020;6(4):271-274.  https://doi.org/10.1089/cren.2020.0110
  4. Antoniou SA, García-Alamino JM, Hajibandeh S, Hajibandeh S, Weitzendorfer M, Muysoms FE, Granderath FA, Chalkiadakis GE, Emmanuel K, Antoniou GA, Gioumidou M, Iliopoulou-Kosmadaki S, Mathioudaki M, Souliotis K. Single-incision surgery trocar-site hernia: An updated systematic review meta-analysis with trial sequential analysis by the Minimally Invasive Surgery Synthesis of Interventions Outcomes Network (MISSION). Surgical Endoscopy. 2018;32(1):14-23.  https://doi.org/10.1007/s00464-017-5717-4
  5. Hoyuela C, Juvany M, Guillaumes S, Ardid J, Trias M, Bachero I, Martrat A. Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study. Hernia. 2019;23(6):1205-1213. https://doi.org/10.1007/s10029-019-01969-x
  6. Chorti A, AbuFarha S, Michalopoulos A, Papavramidis TS. Richter’s hernia in a 5-mm trocar site. SAGE Open Medical Case Reports. 2019;7:2050313X18823413. https://doi.org/10.1177/2050313X18823413
  7. Gutierrez M, Stuparich M, Behbehani S, Nahas S. Does closure of fascia, type, and location of trocar influence occurrence of port site hernias? A literature review. Surgical Endoscopy. 2020;34(12):5250-5258. https://doi.org/10.1007/s00464-020-07826-8
  8. Mongelli F, La Regina D, Zschokke I, Ceppi M, Ferrario di Tor Vajana A, Di Giuseppe M, Fischer H, Heeren N, Metzger J, Gass M. Gallbladder retrieval from epigastric versus umbilical port in laparoscopic cholecystectomy: A PRISMA-compliant meta-analysis. Surgical Innovation. 2020;27(2):150-159.  https://doi.org/10.1177/1553350619890719
  9. Ciscar A, Badia JM, Novell F, Bolívar S, Mans E. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surgery. 2020;20(1):330.  https://doi.org/10.1186/s12893-020-01000-6
  10. Gorskiy VA, Agapov MA. Are there reasons for concern about hernia development after laparoscopic cholecystectomy? Annaly khirurgicheskoy gepatologii. 2009;14(2):70-75. (In Russ.).
  11. Fear RE. Laparoscopy, a valuable aid in gynecologic diagnosis. Obstetrics and Gynecology. 1968;31(3):297-309.  https://doi.org/10.1097/00006250-196803000-00001
  12. Di Lorenzo N, Coscarella G, Lirosi F, Gaspari A. Port-site closure: A new problem, an old device. JSLS. 2002;6(2):181-183. 
  13. Pereira N, Hutchinson AP, Irani M, Chung ER, Lekovich JP, Chung PH, Zarnegar R, Rosenwaks Z. 5-millimeter trocar-site hernias after laparoscopy requiring surgical repair. Journal of Minimally Invasive Gynecology. 2016;23(4):505-511.  https://doi.org/10.1016/j.jmig.2016.03.001
  14. Cano-Valderrama O, Sanz-López R, Sanz-Ortega G, Anula R, Romera JL, Rojo M, Catalán V, Mugüerza J, Torres AJ. Trocar-site incisional hernia after laparoscopic colorectal surgery: a significant problem? Incidence and risk factors from a single-center cohort. Surgical Endoscopy. 2021;35(6):2907-2913. https://doi.org/10.1007/s00464-020-07729-8
  15. Zhu YP, Liang S, Zhu L, Sun ZJ, Lang JH. Trocar-site hernia after gynecological laparoscopic surgery: a 20-year, single-center experience. Chinese Medical Journal. 2019;132(22):2677-2683. https://doi.org/10.1097/CM9.0000000000000510
  16. Gorsky VA, Faller AP, Ovanesyan ER, Agapov MA. Causes of the formation of hernias after laparoscopic cholecystectomy. Vestnik khirurgii im. I.I. Grekova. 2009;167(4):81-84. (In Russ.).
  17. Rebibo L, Demouron M, Dembinski J, Dhahri A, Yzet T, Regimbeau JM. Impact of routine 12 mm epigastric trocar site closure on incisional hernia after sleeve gastrectomy: a prospective before/after study. Obesity Surgery. 2019;29(11):3500-3507. https://doi.org/10.1007/s11695-019-03971-9
  18. Üstünyurt E, Taşgöz FN, Tiğrak S. Asymptomatic trocar site hernias: An underestimated complication of laparoscopy. Turkish Journal of Obstetrics and Gynecology. 2020;17(3):202-208.  https://doi.org/10.4274/tjod.galenos.2020.70952
  19. Galimov OV, Hanov VO, Butorina OV. The new technologies warning formation of ventral hernias after laparoskopichesky operations. Fundamental’nye issledovanija. 2010;(4):22-25. (In Russ.).
  20. Armañanzas L, Ruiz-Tovar J, Arroyo A, García-Peche P, Armañanzas E, Diez M, Galindo I, Calpena R. Prophylactic mesh vs suture in the closure of the umbilical trocar site after laparoscopic cholecystectomy in high-risk patients for incisional hernia. A randomized clinical trial. Journal of the American College of Surgeons. 2014;218(5):960-968.  https://doi.org/10.1016/j.jamcollsurg.2014.01.049
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