A trokárok helyén kialakult hasfali sérvekrol (Trocar Site Hernia) laparoscopos cholecystectomia után

incidencia és megelozés -- állatkísérletes tanulmány.

Translated title of the contribution: [Trocar site herniation (TSH) following laparoscopic cholecystectomy: incidence, pathogenesis, and prevention -- animal study].

Eldin Mohamed Gamal, Györgyi Szabó, Péter Metzger, I. Furka, I. Mikó, Katalin Peto, A. Ferencz, József Sándor, Zsolt Szentkereszty, Péter Sápi, G. Wéber

Research output: Contribution to journalArticle

Abstract

In 1968 R. E. Fear first reported a trocar site hernia (TSH) in his large series on laparoscopy. Currently, the incidence of TSH is estimated to be 0.65-2.80%. Ports ≥10-mm are usually closed, but ports of the 5-mm trocars are always left open, which may lead to herniation. Authors guided teaching courses for hands-on animal laparoscopic cholecystectomy (LC) operations, where trainees performed LC-s on 60 animals. Two and four weeks following the operations the animals underwent second look laparoscopy to detect adhesion formation. Trocar site herniation was observed, and in 20% of the animals herniation was found. 70% of the hernias were situated in the 5-mm ports and 30% in the 10-mm ports. Port sites should be closed to prevent the formation of TSH. Attention should be payed on the closure of 5-mm trocar sites as well.

Original languageHungarian
Pages (from-to)270-273
Number of pages4
JournalMagyar sebészet
Volume66
Issue number5
Publication statusPublished - Oct 2013

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Laparoscopic Cholecystectomy
Surgical Instruments
Incidence
Hernia
Laparoscopy
Fear
Teaching

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A trokárok helyén kialakult hasfali sérvekrol (Trocar Site Hernia) laparoscopos cholecystectomia után : incidencia és megelozés -- állatkísérletes tanulmány. / Gamal, Eldin Mohamed; Szabó, Györgyi; Metzger, Péter; Furka, I.; Mikó, I.; Peto, Katalin; Ferencz, A.; Sándor, József; Szentkereszty, Zsolt; Sápi, Péter; Wéber, G.

In: Magyar sebészet, Vol. 66, No. 5, 10.2013, p. 270-273.

Research output: Contribution to journalArticle

Gamal, Eldin Mohamed ; Szabó, Györgyi ; Metzger, Péter ; Furka, I. ; Mikó, I. ; Peto, Katalin ; Ferencz, A. ; Sándor, József ; Szentkereszty, Zsolt ; Sápi, Péter ; Wéber, G. / A trokárok helyén kialakult hasfali sérvekrol (Trocar Site Hernia) laparoscopos cholecystectomia után : incidencia és megelozés -- állatkísérletes tanulmány. In: Magyar sebészet. 2013 ; Vol. 66, No. 5. pp. 270-273.
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