Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study
| العنوان: | Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study |
|---|---|
| المؤلفون: | Alessandra Murgia, Sergio Licheri, A Garau, Antonella Pitzalis, Enrico Erdas, F Secchi, Paolo Contu, M Barbarossa, Gp Farina, S Aresu, Mariano Pomata, C Dazzi |
| المصدر: | Hernia. 16:431-437 |
| بيانات النشر: | Springer Science and Business Media LLC, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Incisional hernia, medicine.medical_treatment, Umbilicus (mollusc), Gallbladder disease, Gallbladder Diseases, Young Adult, Pneumoperitoneum, Risk Factors, medicine, Humans, Hernia, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Incidence, Gallstones, Middle Aged, Surgical Instruments, medicine.disease, Hernia, Ventral, Umbilical hernia, Surgery, Cholecystectomy, Laparoscopic, Female, Cholecystectomy, business, Follow-Up Studies |
| الوصف: | The aim of this retrospective study was to assess the incidence of trocar site hernias (TSH) following laparoscopic cholecystectomy (LC) through a long-term follow-up and to elucidate the significance of several technical and patient-related factors. A total of 313 patients submitted to LC between 2000 and 2004 were included in our study. The pneumoperitoneum was always performed by means of Hasson’s technique at the umbilical site and the operative trocars were positioned using either the American technique or the French technique. Closure of the fascial defect was performed only at the umbilical site. The effects of several variables, including age, gender, size of gallstones, co-existing umbilical hernia, complexity of operation, diabetes, obesity, malnutrition, smoking, and heavy manual work on the development of TSH were assessed by univariate and multivariate models. Thirteen cases of TSH (4.1 %) were detected over a mean follow-up period of 89.8 months (range: 60–128). Of these, 11 (84.6 %) developed at the umbilicus and 2 at the 10 mm subxiphoid site (15.4 %). At univariate and multivariate analysis, gallstones ≥2 cm (p = 0.030; OR = 9.95, p = 0.01) and obesity (p = 0.002; OR = 22.93, p |
| تدمد: | 1248-9204 1265-4906 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f034d14c2b90fb87350dbe72ab58d561Test https://doi.org/10.1007/s10029-012-0929-yTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....f034d14c2b90fb87350dbe72ab58d561 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 12489204 12654906 |
|---|