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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Laparoscopic port-site fascial closure device review and catalog
Nicholas J Prindeze1, Amanda C Foshag2, Shintaro Chiba3
1Division of Gastrointestinal Surgery, Department of Surgery, Irvine Medical Center, University of California, 101 The City Drive South, Orange, CA, 92868, USA. nprindez@hs.uci.edu.
Abstract:
Port-site hernia is a known complication of laparoscopic surgery, with risk influenced by several factors such as trocar diameter, abdominal wall location, and port-site enlargement for specimen extraction. Larger ports (≥10-12 mm) and umbilical or other midline sites demonstrate higher reported hernia rates, while patient factors such as obesity, smoking, diabetes, and advanced age may further increase risk. Numerous commercially available port-site closure devices have been developed to improve technical ease and consistency of fascial approximation, particularly in challenging patient populations. This review summarizes current evidence regarding risk factors for port-site hernia formation and provides a comprehensive catalog of currently available port-site fascial closure devices and their technical characteristics.
