Abstract | BACKGROUND:
Morbid obesity is a risk for fascial wound dehiscence and incisional hernia after abdominal surgery. The development of minimally invasive surgical techniques has led to a dramatic decrease in these complications. However, laparoscopic surgery may still be followed by trocar- wound herniation. Various methods have been advocated for its prevention. METHODS: The records of 752 patients who underwent laparoscopic bariatric operations (610 mini- gastric bypass and 142 gastric banding) as treatment for morbid obesity between October 2001 and June 2005, with regular follow-up, were retrospectively reviewed. In all patients, the fascial layer of trocar wounds was not closed. Instead, a Surgicel plug was inserted into the muscle layer of trocar wounds of 10- and 12-mm diameter. RESULTS: 2 male patients in the mini- gastric bypass group developed a trocar wound hernia, for an overall prevalence of 0.33% (2/610). The intervals between surgery and diagnosis were 3 and 5 months respectively. In these 2 patients, the hernia occurred at the 12-mm trocar wound of the left midclavicular line, 2-3 cm below the costal margin, outside the left rectus muscle. These 2 patients have not developed intestinal obstruction as a consequence of the hernia, and have not undergone hernia repair. No patient in the gastric banding group has been found to develop a hernia. CONCLUSION:
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Authors | Chong-Chi Chiu, Wei-Jei Lee, Weu Wang, Po-Li Wei, Ming-Te Huang |
Journal | Obesity surgery
(Obes Surg)
Vol. 16
Issue 7
Pg. 913-8
(Jul 2006)
ISSN: 0960-8923 [Print] United States |
PMID | 16839493
(Publication Type: Journal Article)
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Topics |
- Gastric Bypass
(adverse effects, instrumentation)
- Hernia
(epidemiology, etiology)
- Humans
- Laparoscopy
(adverse effects)
- Male
- Postoperative Complications
(diagnosis)
- Retrospective Studies
- Surgical Instruments
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