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

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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Transvaginal-hybrid vs. single-port-access vs. ‘conventional’ laparoscopic cholecystectomy: a prospective observational study

Langenbeck s Archives of Surgery ◽

10.1007/s00423-011-0769-8 ◽

2011 ◽

Vol 396 (5) ◽

pp. 709-715 ◽

Cited By ~ 42

Author(s):

Maik Kilian ◽

Wieland Raue ◽

Charalambos Menenakos ◽

Brit Wassersleben ◽

Jens Hartmann

Keyword(s):

Laparoscopic Cholecystectomy ◽

Observational Study ◽

Prospective Observational Study ◽

Single Port ◽

Single Port Access ◽

Conventional Laparoscopic Cholecystectomy ◽

Conventional Laparoscopic ◽

Port Access

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Single-Port Versus Conventional Laparoscopic Cholecystectomy: Better Cosmesis at the Price of an Increased Incisional Hernia Rate?

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2019.0374 ◽

2019 ◽

Vol 29 (9) ◽

pp. 1163-1167 ◽

Cited By ~ 1

Author(s):

Marco Casaccia ◽

Francesco Saverio Papadia ◽

Denise Palombo ◽

Stefano Di Domenico ◽

Maria Pia Sormani ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Incisional Hernia ◽

Single Port ◽

Conventional Laparoscopic Cholecystectomy ◽

Conventional Laparoscopic ◽

Incisional Hernia Rate

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Predictors of Incisional Hernia after Robotic Assisted Radical Prostatectomy

Advances in Urology ◽

10.1155/2015/457305 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 7

Author(s):

Avinash Chennamsetty ◽

Jason Hafron ◽

Luke Edwards ◽

Scott Pew ◽

Behdod Poushanchi ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Incisional Hernia ◽

Operative Time ◽

Patient Counseling ◽

Incisional Hernias ◽

Prostate Weight ◽

History Of ◽

Robotic Assisted Radical Prostatectomy

Introduction.To explore the long term incidence and predictors of incisional hernia in patients that had RARP.Methods.All patients who underwent RARP between 2003 and 2012 were mailed a survey reviewing hernia type, location, and repair.Results.Of 577 patients, 48 (8.3%) had a hernia at an incisional site (35 men had umbilical), diagnosed at (median) 1.2 years after RARP (mean follow-up of 5.05 years). No statistically significant differences were found in preoperative diabetes, smoking, pathological stage, age, intraoperative/postoperative complications, operative time, blood loss, BMI, and drain type between patients with and without incisional hernias. Incisional hernia patients had larger median prostate weight (45 versus 38 grams;P=0.001) and a higher proportion had prior laparoscopic cholecystectomy (12.5% (6/48) versus 4.6% (22/480);P=0.033). Overall, 4% (23/577) of patients underwent surgical repair of 24 incisional hernias, 22 umbilical and 2 other port site hernias.Conclusion.Incisional hernia is a known complication of RARP and may be associated with a larger prostate weight and history of prior laparoscopic cholecystectomy. There is concern about the underreporting of incisional hernia after RARP, as it is a complication often requiring surgical revision and is of significance for patient counseling before surgery.

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Single Port Access Laparoscopic Cholecystectomy (with video)

World Journal of Surgery ◽

10.1007/s00268-008-9874-4 ◽

2008 ◽

Vol 33 (5) ◽

pp. 1015-1019 ◽

Cited By ~ 94

Author(s):

Pascal Bucher ◽

François Pugin ◽

Nicolas Buchs ◽

Sandrine Ostermann ◽

Fadi Charara ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Single Port ◽

Single Port Access ◽

Port Access

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Incisional hernia after 2498 single-port access (SPA) gynecologic surgery over a 10-year period

Scientific Reports ◽

10.1038/s41598-020-74471-5 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Joseph J. Noh ◽

Tae-Hyun Kim ◽

Chul-Jung Kim ◽

Tae-Joong Kim

Keyword(s):

Incisional Hernia ◽

Single Port ◽

Surgical Techniques ◽

Patient Characteristics ◽

Suture Technique ◽

Perioperative Outcomes ◽

Gynecologic Surgery ◽

Single Port Access ◽

Interrupted Suture ◽

Port Access

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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