A trokárok helyén kialakult hasfali sérvekről (Trocar Site Hernia) laparoscopos cholecystectomia után: incidencia és megelőzés -- állatkísérletes tanulmány

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

Eldin M.ohamed Gamal, Györgyi Szabó, Péter Metzger, István Furka, Irén Mikó, Katalin Pető, Andrea Ferencz, József Sándor, Zsolt Szentkereszty, Péter Sápi, György Wéber

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: 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.

MATERIAL AND METHODS: 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.

RESULTS: 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.

CONCLUSION: 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.

Translated title of the contributionTrocar site herniation (TSH) following laparoscopic cholecystectomy: incidence, pathogenesis, and prevention -- animal study
Original languageHungarian
Pages (from-to)270-273
Number of pages4
JournalMagyar sebészet
Volume66
Issue number5
DOIs
Publication statusPublished - Oct 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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