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Review
. 2016 Dec;26(6):425-430.
doi: 10.1097/SLE.0000000000000341.

Incidence of Port-Site Hernias: A Survey and Literature Review

Julie L Holihan  1 , Jeffery S Chen, James Greenberg, Dermot Hehir, Sean M Johnston, Daniel Marcus, Heidi Ryan, Shawn Tsuda, Mike K Liang
Affiliations
Review

Incidence of Port-Site Hernias: A Survey and Literature Review

Julie L Holihan et al. Surg Laparosc Endosc Percutan Tech. 2016 Dec.

Abstract

Background: The impact of laparoscopy on the prevalence of incisional hernias remains unclear. The aim of this study is to determine (1) surgeon perceptions of port-site hernias (PSHs), (2) the true incidence of PSH.

Materials and methods: A survey on PSH was given to determine the surgeon-reported rate of PSH. A literature review was performed for studies with a primary outcome of PSH. Studies were evaluated using checklists, and scores were used to compare risk of bias. Risk of bias was graphed against PSH incidence.

Results: From 38 surgeons surveyed, the surgeon perceived rate of PSH was a median (range) of 0.5% (0% to 5%) for ports ≤5 mm, 5% (0.1% to 20%) for ports extended, and 5% (0.1% to 40%) for ports ≥10 mm. Thirty studies showed a PSH rate from 0% to 39.3%. Higher quality studies reported higher rates of PSH.

Conclusions: Surgeons underestimate the incidence of PSH, but high-quality literature suggests that it may be nearly 40%.

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