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. 2009 Jul-Sep;13(3):346-9.

Long-term study of port-site incisional hernia after laparoscopic procedures

Abdulzahra Hussain  1 , Hind Mahmood, Tarun Singhal, Santosh Balakrishnan, Jackie Nicholls, Shamsi El-Hasani
Affiliations

Long-term study of port-site incisional hernia after laparoscopic procedures

Abdulzahra Hussain et al. JSLS. 2009 Jul-Sep.

Abstract

Background: Laparoscopic surgery is widely practiced and offers realistic benefits over conventional surgery. There is considerable variation in results between surgeons, concerning port-site complications. The aim of this study was to evaluate the laparoscopic port closure technique and to explore the factors associated with port-site incisional hernia.

Methods: Between January 2000 and January 2007, 5541 laparoscopic operations were performed by a single consultant surgeon for different indications. The ports were closed by the classical method using a J-shaped needle after release of pneumoperitoneum. The incidence of port-site incisional hernias was calculated. All patients were followed up by outpatient clinic visits and by their general practitioners.

Results: During a 6-year period, 5541 laparoscopic operations were performed. Eight patients (0.14%) developed port-site hernia during a mean follow-up period of 43 months (range, 25 to 96) and required elective surgery to repair their hernias. No major complications or mortality was reported.

Conclusion: Laparoscopic port closure using the classical method was associated with an acceptable incidence of port-site hernia. Modification of the current methods of closure may lead to a new technique to prevent or reduce the incidence of port-site incisional hernias.

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Figures

Figure 1.
Figure 1.
The percentage of laparoscopic procedures performed.
See this image and copyright information in PMC

Comment in

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