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Hernias at the laparoscopic cholecystectomy trocar sites
Maria DE Lourdes Pessole Biondo-Simões1, Rachel Biondo-Simões2
1- Universidade Federal do Paraná, Departamento de Cirurgia - Curitiba - PR - Brasil.
Introduction:
The surgical approach to the abdomen via laparoscopy has been widely used for cholecystectomy. This access route has demonstrated advantages, including the reduction in the incidence of incisional hernias. Could this really be a reality?
Objective:
This survey aims to show the existence of these hernias and the profile of patients who present them.
Method:
Incisional hernias operated from January 2017 to May 2024, at the Complexo Hospital do Trabalhador were reviewed. The inclusion criteria were: age 18 years or older and having undergone laparoscopic cholecystectomy, excluding those operated on in the emergency room and those whose medical records did not allow the data to be analyzed to be obtained.
Results:
71 hernias were identified at the trocar site, all in the umbilical position (12.98% of all incisional hernias). It predominated in women (73.24%) and the average age was 53.99 ± 13.33 years. Weight changes were present in 91.05% of patients and obesity in 52.25%. The diagnosis was clinical and the hernias were complex. Furthermore, 38.03% were diabetic and 42.25% had high blood pressure.
Conclusion:
Incisional hernia at the umbilical trocar site in laparoscopic cholecystectomy is highly prevalent, with obesity as the main risk factor.
