Incisional hernia after single-incision laparoscopic cholecystectomy: incidence and predictive factors

Area of Science:

• Laparoscopic Surgery
• Surgical Complications
• Hernia Research

Background:

• Single-incision laparoscopic cholecystectomy (SILC) is a minimally invasive surgical technique.
• Incisional hernia is a potential complication following abdominal surgery.
• Understanding the incidence and predictors of incisional hernia after SILC is crucial for patient safety.

Purpose of the Study:

• To determine the incidence of incisional hernia after SILC.
• To identify predictive factors for incisional hernia development post-SILC.
• To inform surgical recommendations for SILC procedures.

Main Methods:

• Retrospective study of 82 patients undergoing SILC for cholelithiasis (2009-2013).
• Clinical outcomes assessed via medical records, consultations, and interviews.
• Statistical analysis (univariate and multivariate) of age, gender, BMI, ASA score, and comorbidities.

Main Results:

• Incisional hernia was observed in 7.9% of patients after a median follow-up of 44 months.
• Independent predictive factors for incisional hernia were older age (≥50 years) and higher BMI (≥30).
• Hernia incidence was 15% in patients aged ≥50 and 33% in those with BMI ≥30.

Conclusions:

• SILC is associated with an 8% incisional hernia rate.
• Age and BMI are significant predictors of incisional hernia after SILC.
• Patient selection for SILC should prioritize younger, non-obese individuals to reduce hernia risk.