AIM: The aim of this study was to elucidate the influence of pre and perioperative factors on the development of trocar site hernia after a laparoscopic cholecystectomy procedure. PATIENTS AND METHODS: A total of 776 patients who underwent alaparoscopic cholecystectomy procedurein our Department of General Surgery between 1999 and 2004 were assigned as the study group. The control group included patients without trocar site hernias after a cholecystectomy. The effect of five variables, including gender, age, body mass index (BMI), operation duration, and the type of cholecystitis on the development of a trocar site hernia after a laparoscopic cholecystectomy was assessed by univariable and multivariable models. RESULTS: In the univariate analysis, female gender (P = 0.021), older age (P < 0.001), higher BMI at the time of surgery (P < 0.001), and an increased duration of surgery (P < 0.001) have been found to increase the likelihood of a trocar site hernia formation. However, in the multivariable model, the gender was not a significant variable to influence the development of this complication. CONCLUSIONS: The development of a postoperative trocar site hernia may be prevented by the closure of 10-mm trocar sites in patients who are older than 60 years, obese, and who have a longer duration of operation.
RCT Entities:
AIM: The aim of this study was to elucidate the influence of pre and perioperative factors on the development of trocar site hernia after a laparoscopic cholecystectomy procedure. PATIENTS AND METHODS: A total of 776 patients who underwent a laparoscopic cholecystectomy procedure in our Department of General Surgery between 1999 and 2004 were assigned as the study group. The control group included patients without trocar site hernias after a cholecystectomy. The effect of five variables, including gender, age, body mass index (BMI), operation duration, and the type of cholecystitis on the development of a trocar site hernia after a laparoscopic cholecystectomy was assessed by univariable and multivariable models. RESULTS: In the univariate analysis, female gender (P = 0.021), older age (P < 0.001), higher BMI at the time of surgery (P < 0.001), and an increased duration of surgery (P < 0.001) have been found to increase the likelihood of a trocar site hernia formation. However, in the multivariable model, the gender was not a significant variable to influence the development of this complication. CONCLUSIONS: The development of a postoperative trocar site hernia may be prevented by the closure of 10-mm trocar sites in patients who are older than 60 years, obese, and who have a longer duration of operation.
Authors: M Bailon-Cuadrado; M Rodriguez-Lopez; J I Blanco-Alvarez; P L Rodriguez-Vielba Journal: Ann R Coll Surg Engl Date: 2016-05 Impact factor: 1.891
Authors: Paulina Cybulska; Maria B Schiavone; Brandon Sawyer; Ginger J Gardner; Oliver Zivanovic; Carol L Brown; Elizabeth L Jewell; Yukio Sonoda; Richard R Barakat; Nadeem R Abu-Rustum; Mario M Leitao Journal: Gynecol Oncol Date: 2017-09-22 Impact factor: 5.482
Authors: G Chatzimavroudis; B Papaziogas; I Galanis; I Koutelidakis; S Atmatzidis; P Evangelatos; N Voloudakis; A Ananiadis; A Doundis; E Christoforidis Journal: Hernia Date: 2017-10-25 Impact factor: 4.739