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[Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery].
Journal article

[Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery].

  • Holzinger F Klinik für Viszerale und Transplantationschirurgie, Universität Bern, Inselspital, Bern, Schweiz, Germany.
  • Klaiber C
  • 2002-09-26
Published in:
  • Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen. - 2002
Equipment Design
Fasciotomy
Hernia, Ventral
Humans
Laparoscopy
Peritoneum
Postoperative Complications
Risk Factors
Surgical Instruments
Suture Techniques
English With increasing numbers of laparoscopic procedures more postoperative trocar site hernias can be expected. This complication of minimally invasive surgery is rare but potentially dangerous. According to the literature, the overall incidence of trocar site hernias is expected to be around 1%. Among trocar site hernias, Richter's hernias are the most frequent, accounting for two-thirds of all small intestinal hernias. The following risk factors for the development of trocar site hernias have been identified: the trocar diameter, the trocar design, preexisting fascial defects, and some operation- and patient-related factors. Peritoneal and fascial closure should be done when blunt trocars of >10 mm have been employed. Based on the literature and our own experience, some preventive recommendations are given to further reduce the risk of hernia formation at trocar sites.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/182688
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