Trocar site hernia as a complication after laparoscopic surgery: causes and frequency of occurrence, classification, methods of treatment and prevention

Authors

  • I. Ya. Dziubanovskyi I. Horbachevsky Ternopil National Medical University
  • M.-I. R. Varvaruk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.2.13178

Keywords:

laparoscopy, hernia, trocar site hernia

Abstract

Trocar site hernia is a serious complication that occurs after various types of laparoscopic surgical interventions. Currently, the frequency of this complication is not high. However, due to the increase in laparoscopic surgical interventions in modern medical practice, the number of patients who may develop this disease increases accordingly. Research in the field of complications of mini-invasive surgery is definitely relevant nowadays. Despite the fact that this disease can be considered modern, the first case of trocar site hernia was described in laparoscopic gynecology in 1960. In this article, we systematize all information about classification, the most common causes of trocar site hernias, methods of their prevention, and treatment.

References

Crist, D., & Gadacz, T. (1993). Complications of laparoscopic surgery. Surgical Clinics of North America, 73 (2), 265-289.

Fear, R. (1968). Laparoscopy: A valuable aid in gynecologic diagnosis. Obstetrics &Amp; Gynecology, 31 (3), 297-309.

Maio, A., & Ruchman, R. (1991). CT diagnosis of postlaparoscopic hernia. Journal of Computer Assisted Tomography, 15 (6), 1054-1055.

Tonouchi, H. (2004). Trocar site hernia. Archives of Surgery, 139 (11), 1248-1256.

Nofal, M., Yousef, A., Hamdan, F., & Oudat, A. (2020). Cha­racteristics of trocar site hernia after laparoscopic cholecystectomy. Scientific Reports, 10 (1). .

Chatzimavroudis, G., Papaziogas, B., Galanis, I., Koutelidakis, I., Atmatzidis, S., …& Evangelatos, P. et al. (2017). Trocar site hernia following laparoscopic cholecystectomy: a 10-year single center experience. Hernia, 21 (6), 925-932.

Bowrey, D.J., Blom, D., Crookes, P.F., Bremner, C.G., Johansson, J.L.M., Lord, R.V., & Peters, J.H. (2001). Risk factors and the prevalence of trocar site herniation after laparoscopic fundoplication. Surgical Endoscopy, 15 (7), 663-666.

Boldo, E., de Lucia, G.P., Aracil, J. P., Martin, F., Escrig, J., Martinez, D., …& Armelles, A. (2007). Trocar site hernia after laparoscopic ventral hernia repair. Surgical Endoscopy, 21 (5), 798-800.

Coda, A., Bossotti, M., Ferri, F., Mattio, R., Ramellini, G., Poma, A., … & Bona, A. (2000). Incisional hernia and fascial defect following laparoscopic surgery. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 10 (1), 34-38.

Erdas, E., Dazzi, C., Secchi, F., Aresu, S., Pitzalis, A., Barbarossa, M., ... & Farina, G. (2012). Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: a long-term follow-up study. Hernia, 16 (4), 431-437.

Azurin, D.J., Go, L.S., Arroyo, L.R. & Kirkland, M.L. (1995). Trocar site herniation following laparoscopic cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am. Surg. 8, 718-720.

Yamamoto, M., Minikel, L., & Zaritsky, E. (2011). Laparoscopic 5-mm trocar site herniation and literature review. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 15 (1), 122.

Helgstrand, F., Rosenberg, J., & Bisgaard, T. (2011). Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia, 15 (2), 113-121

Alptekin, H., Yilmaz, H., Acar, F., Kafali, M., & Sahin, M. (2012). Incisional hernia rate may increase after single-port cholecystectomy. Journal of Laparoendoscopic &Amp; Advanced Surgical Techniques, 22 (8), 731-737.

Hoyuela, C., Juvany, M., Guillaumes, S., Ardid, J., Trias, M., Bachero, I., & Martrat, A. (2019). Long-term incisional hernia rate after single-incision laparoscopic cholecystectomy is significantly higher than that after standard three-port laparoscopy: a cohort study. Hernia, 23 (6), 1205-1213.

Comajuncosas, J., Vallverdú, H., Orbeal, R., & Parés, D. (2011). Eventración de los orificios de los trocares en cirugía laparoscópica. Cirugía Española, 89 (2), 72-76.

Uslu, H., Erkek, A., Cakmak, A., Kepenekci, I., Sozener, U., & Kocaay, F. et al. (2007). Trocar site hernia after laparoscopic cholecystectomy. Journal of Laparoendoscopic &Amp; Advanced Surgical Techniques, 17 (5), 600-603.

Al-Haijar, N., Duca, S., Molnár, G., Vasilescu, A., & Nicolescu, N. (2002). Incidents and postoperative complications of laparoscopic cholecystectomies for acute cholecystitis. Rom. J. Gastroenterol., 11 (2), 115-119.

Montz, F.J., Holschneider, C.H., & Munro, M.G. (1994). Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. OBSTETRICS AND GYNECOLOGY-NEW YORK, 84, 881-881.

Leibl, B., Schmedt, C., Schwartz, J., Kraft, K., & Bittner, R. (1999). Laparoscopic surgery complications associated with trocar tip design: review of literature and own Results. Journal of Laparoendoscopic &Amp; Advanced Surgical Techniques, 9 (2), 135-140.

Mayol, J., Garcia-Aguilar, J., Ortiz-Oshiro, E., De-Diego Carmona, J., & Fernandez-Represa, J. (1997). Risks of the minimal access approach for laparoscopic surgery: Multivariate analysis of morbidity related to umbilical trocar insertion. World Journal of Surgery, 21 (5), 529-533.

Armañanzas, L., Ruiz-Tovar, J., Arroyo, A., García-Peche, P., Armañanzas, E., Diez, M., ... & Calpena, R. (2014). Prophylactic mesh vs suture in the closure of the umbilical trocar site after laparoscopic cholecystectomy in high-risk patients for incisional hernia. A randomized clinical trial. Journal of the American College of Surgeons, 218 (5), 960-968.

Downloads

Published

2022-09-14

How to Cite

Dziubanovskyi, I. Y., & Varvaruk, M.-I. R. (2022). Trocar site hernia as a complication after laparoscopic surgery: causes and frequency of occurrence, classification, methods of treatment and prevention. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 79–82. https://doi.org/10.11603/2414-4533.2022.2.13178

Issue

No. 2 (2022)

Section

CASE REPORT

License

Copyright (c) 2022 Hospital Surgery. Journal named by L.Ya. Kovalchuk

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).