Trocar site post incisional hernia: about 19 cases

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Abdominal Surgery

Background:

• Laparoscopic surgery offers abdominal wall preservation benefits.
• Port-site incisional hernias are an avoidable complication of laparoscopic procedures.
• Understanding predictive factors and treatment is essential for managing trocar site hernias.

Purpose of the Study:

• To identify predictive factors for port-site incisional hernias.
• To outline therapeutic modalities for managing these hernias.
• To emphasize the prevention of this complication.

Main Methods:

• Retrospective, descriptive study over 10 years (2006-2015).
• Analysis of 19 patients with port-site incisional hernia.
• Inclusion of data on patient demographics, initial surgery, hernia characteristics, diagnosis, and treatment outcomes.

Main Results:

• 19 female patients with an average age of 55.
• 12 patients had identifiable risk factors.
• Hernias occurred at 10 mm trocar sites, predominantly umbilical (16/19).
• Great omentum (11/19) and small bowel (8/19) were common hernia contents.
• Five patients required emergent surgery for strangulation, treated with primary suture.
• Two recurrences observed (one primary suture, one mesh repair).

Conclusions:

• Trocar size (10 mm), obesity, and open coelioscopy are key risk factors.
• Port-site incisional hernias, though rare, can have severe consequences if strangulated.
• Prevention strategies are paramount to avoid this complication.