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[Post-laparoscopic incisional hernia. Apropos of a case]
G Le Bouëdec1, P Kauffmann, P Mille
1Centre Jean Perrin, Service de Chirurgie, Clermont-Ferrand.
Journal De Chirurgie
|May 1, 1995
Summary
Laparoscopic hysterectomy can lead to incisional hernias, particularly with larger trocar sizes. Elective closure of incisions over 10 mm is recommended to prevent complications like omental incarceration.
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Abdominal Wall Reconstruction
Background:
- Laparoscopic hysterectomy is a common gynecological procedure.
- Trocar insertion sites are potential sites for incisional hernias.
- Parietal morbidity is a known risk associated with laparoscopic instruments.
Observation:
- A patient developed an incisional hernia after laparoscopic hysterectomy.
- The greater omentum was incarcerated in a 12 mm suprapubic trocar tract.
- Diagnosis and treatment were successfully managed via a subsequent laparoscopy.
Findings:
- Increased number and larger diameter of trocars heighten the risk of incisional hernias.
- Elective closure of trocar incisions exceeding 10 mm is advised.
- Suturing under laparoscopic vision, including both aponeurosis and peritoneum, enhances hernia prevention.
Implications:
- Recommendations for elective trocar site closure to minimize incisional hernia risk.
- Importance of meticulous surgical technique in preventing parietal morbidity.
- Improved strategies for managing and preventing incisional hernias in laparoscopic surgery.