Assessing Effect of Fascial Non-Closure in 10 mm Trocar Sites on Incidence of Incisional Hernia

AUTHORS

Ahmadreza Soroush 1 , Zhamak Khorgami 1 , * , Yosra Jahangiri 1 , Roza Mofid 1 , Shirzad Nasiri 1 , Ali Aminian 2 , Abbas Alibakhshi 3

1 Department of Surgery, Shariati Hospital, Tehran University of Medical Sciences, [email protected], IR Iran

2 Department of Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, IR Iran

3 Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, IR Iran

How to Cite: Soroush A, Khorgami Z, Jahangiri Y, Mofid R, Nasiri S, et al. Assessing Effect of Fascial Non-Closure in 10 mm Trocar Sites on Incidence of Incisional Hernia, J Minim Invasive Surg Sci. Online ahead of Print ; 2(1):99-102.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 2 (1); 99-102
Published Online: February 28, 2013
Article Type: Test Research
Received: May 29, 2012
Accepted: July 24, 2012

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Abstract

Background: Trocar site, incisional hernia is one of the serious complications of laparoscopic surgery. As a result, many surgeons prefer to close the fascia, especially in those sites where a trocar of 10 mm in size or larger has been inserted. On the other hand, suturing the fascia may lead to damage of other tissues, such as the intestines; hence, some surgeons prefer not to close the fascia.

Objectives: This study was performed to evaluate the outcome of using fascial non-closure in sites of 10 mm ports and the incidence of subsequent incisional hernia in patients undergoing laparoscopic cholecystectomy.

Patients and Methods: The current study was a cohort scheduled for surgery in the General Surgery Ward at the Shariati Hospital of the Tehran University of Medical Sciences. Two hundred and twenty patients were selected in a convenient manner for a cholecystectomy. A 10 mm trocar was inserted in the umbilicus and the other ports were 5 mm. None of the trocar sites was closed. All of the patients were followed up to one year after the operation.

Results: The mean age was 43.41 years and 91 patients (41.4%) were male. Five patients (2.3%) developed incisional hernia. The occurrence of hernia was not associated with; age, sex, BMI > 25, smoking or diabetes (P > 0.05).

Conclusions: According to the results obtained in this study, it seems that in cases without closure of the fascia site of 10 mm trocars, the incidence of incisional hernia is considerable. Furthermore; age, gender, weight, smoking or diabetes, did not have any relationship with the occurrence of incisional hernia. More comparative studies are required to confirm these results.

Keywords

Hernia, Ventral Cholecystectomy, Laparoscopic Abdominal Wound Closure Techniques

© 2013, Journal of Minimally Invasive Surgical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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