Incisional Hernia after Single-Port Access Laparoscopic Gynecologic Surgery: A Retrospective Study of 2,498 Cases over a 10-Year Period

Abstract The present study was conducted to report the perioperative outcomes of single-port access (SPA) laparoscopic gynecologic surgeries with focus on the incidence of postoperative incisional hernia from our cumulative data of 2498 patients. A retrospective review was performed on the women who had received SPA surgeries from 2008 to 2018. Patient characteristics and perioperative outcomes including the incidence of postoperative incisional hernia were analyzed. There were 2498 Korean patients who received SPA surgeries for various gynecologic diseases. The median age of the patients was 40.3 ± 9.2 years, and the mean body mass index (BMI) was 22.6 ± 3.2 kg/m2. A total of 3 postoperative incisional hernia occurred during the study period. Two patients whose fascial layers were closed in running sutures developed hernias 6 and 8 months after their operations. One patient whose fascial layers were closed in interrupted sutures developed hernia 11 months after her operation. The incidence of postoperative incisional hernia following SPA surgery is low in Asian women whose BMI is relatively lower than other patient populations. Interrupted suture technique may reduce postoperative incisional hernia by providing a distinct visualization of fascial layers during closure. Detailed descriptions of our surgical techniques of closing the port incision are provided.

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COMPARISON BETWEEN INCIDENCE OF INCISIONAL HERNIA IN LAPAROSCOPIC CHOLECYSTECTOMY AND BY SINGLE PORT

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/0102-672020180001e1354 ◽

2018 ◽

Vol 31 (1) ◽

Cited By ~ 4

Author(s):

Fernando Athayde MADUREIRA ◽

Cristiane Luzia Teixeira GOMEZ ◽

Eduardo Monteiro ALMEIDA

Keyword(s):

Laparoscopic Cholecystectomy ◽

Incisional Hernia ◽

Single Port ◽

Conventional Technique ◽

Single Port Access ◽

Conventional Laparoscopic Cholecystectomy ◽

Incisional Hernias ◽

Conventional Laparoscopic ◽

Port Access

ABSTRACT Background: Surgeries with single port access have been gaining ground among surgeons who seek minimally invasive procedures. Although this technique uses only one access, the incision is larger when compared to laparoscopic cholecystectomy and this fact can lead to a higher incidence of incisional hernias. Aim: To compare the incidence of incisional hernia after laparoscopic cholecystectomy and by single port. Methods: A total of 57 patients were randomly divided into two groups and submitted to conventional laparoscopic cholecystectomy (n=29) and laparoscopic cholecystectomy by single access (n=28). The patients were followed up and reviewed in a 40.4 month follow-up for identification of incisional hernias. Results: Follow-up showed 21,4% of incisional hernia in single port group and 3.57% in conventional technique. Conclusions: There was a higher incidence of late incisional hernia in patients submitted to single port access cholecystectomy compared to conventional laparoscopic cholecystectomy.

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