Research Article
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Year 2022, Volume: 39 Issue: 4, 1223 - 1229, 29.10.2022

Abstract

References

  • 1. Welbourn R, Pournaras DJ, Dixon J, Higa K, Kinsman R, Ottosson J, et al. Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Second IFSO Global Registry Report 2013-2015. Obes Surg. 2018; 28(2): 313-22.
  • 2. Bjørklund G, Semenova Y, Pivina L, Costea D-O. Follow-up after bariatric surgery: A review. Nutrition. 2020; 78: 110831.
  • 3. Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Nanni G, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015; 386(9997): 964-73.
  • 4. Chang SH, Freeman NLB, Lee JA, Stoll CRT, Calhoun AJ, Eagon JC, et al. Early major complications after bariatric surgery in the USA, 2003-2014: a systematic review and meta-analysis. Obes Rev. 2018; 19(4): 529-37.
  • 5. Livingston EH. Complications of bariatric surgery. Surgical Clinics. 2005; 85(4): 853-68.
  • 6. Karampinis I, Lion E, Grilli M, Hetjens S, Weiss C, Vassilev G, et al. Trocar Site Hernias in Bariatric Surgery-an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis. Obes Surg. 2019; 29(3): 1049-57.
  • 7. Üstünyurt E, Taşgöz FN, Tiğrak S. Asymptomatic trocar site hernias: An underestimated complication of laparoscopy. Turk J Obstet Gynecol. 2020; 17(3): 202-8.
  • 8. Scozzari G, Zanini M, Cravero F, Passera R, Rebecchi F, Morino M. High incidence of trocar site hernia after laparoscopic or robotic Roux-en-Y gastric bypass. Surg Endosc. 2014; 28(10): 2890-8.
  • 9. Rebibo L, Dhahri A, Chivot C, Cyril C, Yzet T, Regimbeau J-M. Trocar site hernia after laparoscopic sleeve gastrectomy using a specific open laparoscopy technique. Surg Obes Relat Dis. 2015; 11(4): 791-6.
  • 10. Pilone V, Di Micco R, Hasani A, Celentano G, Monda A, Vitiello A, et al. Trocar site hernia after bariatric surgery: our experience without fascial closure. Int J Surg. 2014; 12: S83-S6.
  • 11. Ahlqvist S, Björk D, Weisby L, Israelsson LA, Cengiz Y. Trocar Site Hernia After Gastric Bypass. Surg Technol Int. 2017; 30: 170-4.
  • 12. Ahlqvist S, Björk D, Weisby L, Israelsson LA, Cengiz Y. Trocar Site Hernia After Gastric Bypass. Surg Technol Int. 2017; 30: 170-4.
  • 13. Ciscar A, Badia JM, Novell F, Bolívar S, Mans E. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surg. 2020; 20(1): 330.
  • 14. Karampinis I, Lion E, Hetjens S, Vassilev G, Galata C, Reissfelder C, et al. Trocar Site HERnias After Bariatric Laparoscopic Surgery (HERBALS): A Prospective Cohort Study. Obes Surg. 2020; 30(5): 1820-6.
  • 15. Bergemann JL, Hibbert ML, Harkins G, Narvaez J, Asato A. Omental herniation through a 3-mm umbilical trocar site: unmasking a hidden umbilical hernia. J Laparoendosc Adv Surg Tech A. 2001; 11(3): 171-3.
  • 16. Buffone A, Lo Bianco S, Cavallaro D, Caglià P, Basile G, Cannizzaro MA. Epigastrium: unusual site of incisional hernia from a 5 mm trocar. Ann Ital Chir. 2017; 6: S2239253X17027074.
  • 17. Ciscar A, Badia JM, Novell F, Bolívar S, Mans E. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surg. 2020; 20(1): 1-7.
  • 18. Rebibo L, Demouron M, Dembinski J, Dhahri A, Yzet T, Regimbeau JM. Impact of routine 12 mm epigastric trocar site closure on ıncisional hernia after sleeve gastrectomy: A prospective before/after study. Obes Surg. 2019; 29(11): 3500-7.
  • 19. De Santé HA. Obésité: prise en charge chirurgicale chez l’adulte. Recommandations de bonne pratique Saint-Denis La Plaine: HAS. 2009.
  • 20. Iranmanesh P, Rivera AR, Bajwa KS, Alibhai M, Snyder BE, Wilson TD, et al. Trocar site closure with a novel anchor-based (neoClose(®)) system versus standard suture closure: a prospective randomized controlled trial. Surg Endosc. 2020; 34(3): 1270-6.
  • 21. Lessing Y, Pencovich N, Khatib M, Meron-Eldar S, Koriansky J, Abu-Abeid S. One-Anastomosis Gastric Bypass: First 407 Patients in 1 year. Obes Surg. 2017; 27(10): 2583-9.
  • 22. Swank HA, Mulder IM, La Chapelle CF, Reitsma JB, Lange JF, Bemelman WA. Systematic review of trocar-site hernia. Br J Surg. 2012; 99(3): 315-23.
  • 23. Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: A qualitative systematic review. Hernia. 2011; 15(2): 113-21.
  • 24. Chang W-T, Yu F-J, Hsieh M-Y, Huang M-C, Lee K-T, Chen J-S, et al. Laparoscopic cholecystectomy in aged patients. Hepatogastroenterology. 2009; 56(93): 950-5.
  • 25. Ahlqvist S, Edling A, Alm M, Dackhammar JB, Nordin P, Cengiz Y. Trocar site hernia after gastric sleeve. Surg Endosc. 2022; 36(6): 4386-91.
  • 26. Coblijn UK, De Raaff CA, Van Wagensveld BA, Van Tets WF, De Castro SM. Trocar port hernias after bariatric surgery. Obes Surg. 2016; 26(3): 546-51.
  • 27. Raziel A, Goitein D, Sakran N, editors. Safety and Effectiveness of One Anastomosis Gastric Bypass. Obes Surg; 2018: Springer 233 Spring St, New York, NY 10013 USA.
  • 28. Durmus A, Mutlu T, editors. Should Trocar-Site Be Closed Routinely After Laparoscopic Sleeve Gastrectomy; Teaching Of 10 Years' Experience. Obes Surg; 2018: Springer 233 Spring St, New York, NY 10013 USA.
  • 29. Santoro S, Klajner S, Sampaio R. Sleeve gastrectomy and transit bipartition. Obesity and Diabetes: Springer; 2015, p. 89-110.
  • 30. Chiu C-C, Lee W-J, Wang W, Wei P-L, Huang M-T. Prevention of trocar-wound hernia in laparoscopic bariatric operations. Obes Surg. 2006; 16(7): 913-8.
  • 31. Zhu Y-P, Liang S, Zhu L, Sun Z-J, Lang J-H. Trocar-site hernia after gynecological laparoscopic surgery: a 20-year, single-center experience. Chin Med J. 2019; 132(22): 2677-83.
  • 32. Comajuncosas J, Hermoso J, Gris P, Jimeno J, Orbeal R, Vallverdú H, et al. Risk factors for umbilical trocar site incisional hernia in laparoscopic cholecystectomy: a prospective 3-year follow-up study. Am J Surg. 2014; 207(1): 1-6.
  • 33. Beyene RT, Derryberry SL, Barbul A. The effect of comorbidities on wound healing. Surg Clin North Am. 2020; 100(4): 695-705.
  • 34. Mohammed Y, Aly F, Lee W-J. trocar site hernia prevention in laparoscopic bariatric surgery. Obes Surg. 2016; 26(9): 2227.

Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery

Year 2022, Volume: 39 Issue: 4, 1223 - 1229, 29.10.2022

Abstract

The aim of this study investigate the effects of three laparoscopic bariatric-metabolic surgery (BMS) techniques [sleeve gastrectomy (SG), SG with transit bipartition (SG-TB), one anastomosis gastric by-pass (OAGB)] and patients’ sociodemographic and clinical features on trocar site hernia (TSH) development after laparoscopic BMS. This was a retrospective study conducted between January 2015 and February 2022. A total of 54 obese patients, 18 who developed TSH and 36 who did not develop TSH during follow-up after laparoscopic BMS, were included in the study. Mean age was 55.28 ± 7.98 years in the TSH group and 40.58 ± 11.47 years in the non-TSH group (p < 0.001). Seventeen (94.4%) of the TSH group and 23 (63.9%) of the non-TSH group were females (p = 0.021). TSH developed in 1 patient who underwent SG (5.6%), 1 patient who underwent OAGB (5.6%), and 16 patients who underwent SG-TB (88.9%). Multiple logistic regression analysis revealed that high age (p=0.018) and undergoing SG-TB (p=0.018) were independently associated with TSH development. In order to reduce TSH risk and to increase the chance for early diagnosis in patients with advanced age or SG-TB recipients, we believe that taking additional intraoperative precautions and performing closer follow-up will be necessary.

References

  • 1. Welbourn R, Pournaras DJ, Dixon J, Higa K, Kinsman R, Ottosson J, et al. Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Second IFSO Global Registry Report 2013-2015. Obes Surg. 2018; 28(2): 313-22.
  • 2. Bjørklund G, Semenova Y, Pivina L, Costea D-O. Follow-up after bariatric surgery: A review. Nutrition. 2020; 78: 110831.
  • 3. Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Nanni G, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015; 386(9997): 964-73.
  • 4. Chang SH, Freeman NLB, Lee JA, Stoll CRT, Calhoun AJ, Eagon JC, et al. Early major complications after bariatric surgery in the USA, 2003-2014: a systematic review and meta-analysis. Obes Rev. 2018; 19(4): 529-37.
  • 5. Livingston EH. Complications of bariatric surgery. Surgical Clinics. 2005; 85(4): 853-68.
  • 6. Karampinis I, Lion E, Grilli M, Hetjens S, Weiss C, Vassilev G, et al. Trocar Site Hernias in Bariatric Surgery-an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis. Obes Surg. 2019; 29(3): 1049-57.
  • 7. Üstünyurt E, Taşgöz FN, Tiğrak S. Asymptomatic trocar site hernias: An underestimated complication of laparoscopy. Turk J Obstet Gynecol. 2020; 17(3): 202-8.
  • 8. Scozzari G, Zanini M, Cravero F, Passera R, Rebecchi F, Morino M. High incidence of trocar site hernia after laparoscopic or robotic Roux-en-Y gastric bypass. Surg Endosc. 2014; 28(10): 2890-8.
  • 9. Rebibo L, Dhahri A, Chivot C, Cyril C, Yzet T, Regimbeau J-M. Trocar site hernia after laparoscopic sleeve gastrectomy using a specific open laparoscopy technique. Surg Obes Relat Dis. 2015; 11(4): 791-6.
  • 10. Pilone V, Di Micco R, Hasani A, Celentano G, Monda A, Vitiello A, et al. Trocar site hernia after bariatric surgery: our experience without fascial closure. Int J Surg. 2014; 12: S83-S6.
  • 11. Ahlqvist S, Björk D, Weisby L, Israelsson LA, Cengiz Y. Trocar Site Hernia After Gastric Bypass. Surg Technol Int. 2017; 30: 170-4.
  • 12. Ahlqvist S, Björk D, Weisby L, Israelsson LA, Cengiz Y. Trocar Site Hernia After Gastric Bypass. Surg Technol Int. 2017; 30: 170-4.
  • 13. Ciscar A, Badia JM, Novell F, Bolívar S, Mans E. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surg. 2020; 20(1): 330.
  • 14. Karampinis I, Lion E, Hetjens S, Vassilev G, Galata C, Reissfelder C, et al. Trocar Site HERnias After Bariatric Laparoscopic Surgery (HERBALS): A Prospective Cohort Study. Obes Surg. 2020; 30(5): 1820-6.
  • 15. Bergemann JL, Hibbert ML, Harkins G, Narvaez J, Asato A. Omental herniation through a 3-mm umbilical trocar site: unmasking a hidden umbilical hernia. J Laparoendosc Adv Surg Tech A. 2001; 11(3): 171-3.
  • 16. Buffone A, Lo Bianco S, Cavallaro D, Caglià P, Basile G, Cannizzaro MA. Epigastrium: unusual site of incisional hernia from a 5 mm trocar. Ann Ital Chir. 2017; 6: S2239253X17027074.
  • 17. Ciscar A, Badia JM, Novell F, Bolívar S, Mans E. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surg. 2020; 20(1): 1-7.
  • 18. Rebibo L, Demouron M, Dembinski J, Dhahri A, Yzet T, Regimbeau JM. Impact of routine 12 mm epigastric trocar site closure on ıncisional hernia after sleeve gastrectomy: A prospective before/after study. Obes Surg. 2019; 29(11): 3500-7.
  • 19. De Santé HA. Obésité: prise en charge chirurgicale chez l’adulte. Recommandations de bonne pratique Saint-Denis La Plaine: HAS. 2009.
  • 20. Iranmanesh P, Rivera AR, Bajwa KS, Alibhai M, Snyder BE, Wilson TD, et al. Trocar site closure with a novel anchor-based (neoClose(®)) system versus standard suture closure: a prospective randomized controlled trial. Surg Endosc. 2020; 34(3): 1270-6.
  • 21. Lessing Y, Pencovich N, Khatib M, Meron-Eldar S, Koriansky J, Abu-Abeid S. One-Anastomosis Gastric Bypass: First 407 Patients in 1 year. Obes Surg. 2017; 27(10): 2583-9.
  • 22. Swank HA, Mulder IM, La Chapelle CF, Reitsma JB, Lange JF, Bemelman WA. Systematic review of trocar-site hernia. Br J Surg. 2012; 99(3): 315-23.
  • 23. Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: A qualitative systematic review. Hernia. 2011; 15(2): 113-21.
  • 24. Chang W-T, Yu F-J, Hsieh M-Y, Huang M-C, Lee K-T, Chen J-S, et al. Laparoscopic cholecystectomy in aged patients. Hepatogastroenterology. 2009; 56(93): 950-5.
  • 25. Ahlqvist S, Edling A, Alm M, Dackhammar JB, Nordin P, Cengiz Y. Trocar site hernia after gastric sleeve. Surg Endosc. 2022; 36(6): 4386-91.
  • 26. Coblijn UK, De Raaff CA, Van Wagensveld BA, Van Tets WF, De Castro SM. Trocar port hernias after bariatric surgery. Obes Surg. 2016; 26(3): 546-51.
  • 27. Raziel A, Goitein D, Sakran N, editors. Safety and Effectiveness of One Anastomosis Gastric Bypass. Obes Surg; 2018: Springer 233 Spring St, New York, NY 10013 USA.
  • 28. Durmus A, Mutlu T, editors. Should Trocar-Site Be Closed Routinely After Laparoscopic Sleeve Gastrectomy; Teaching Of 10 Years' Experience. Obes Surg; 2018: Springer 233 Spring St, New York, NY 10013 USA.
  • 29. Santoro S, Klajner S, Sampaio R. Sleeve gastrectomy and transit bipartition. Obesity and Diabetes: Springer; 2015, p. 89-110.
  • 30. Chiu C-C, Lee W-J, Wang W, Wei P-L, Huang M-T. Prevention of trocar-wound hernia in laparoscopic bariatric operations. Obes Surg. 2006; 16(7): 913-8.
  • 31. Zhu Y-P, Liang S, Zhu L, Sun Z-J, Lang J-H. Trocar-site hernia after gynecological laparoscopic surgery: a 20-year, single-center experience. Chin Med J. 2019; 132(22): 2677-83.
  • 32. Comajuncosas J, Hermoso J, Gris P, Jimeno J, Orbeal R, Vallverdú H, et al. Risk factors for umbilical trocar site incisional hernia in laparoscopic cholecystectomy: a prospective 3-year follow-up study. Am J Surg. 2014; 207(1): 1-6.
  • 33. Beyene RT, Derryberry SL, Barbul A. The effect of comorbidities on wound healing. Surg Clin North Am. 2020; 100(4): 695-705.
  • 34. Mohammed Y, Aly F, Lee W-J. trocar site hernia prevention in laparoscopic bariatric surgery. Obes Surg. 2016; 26(9): 2227.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Muzaffer Al 0000-0002-0187-3247

Publication Date October 29, 2022
Submission Date August 11, 2022
Acceptance Date September 7, 2022
Published in Issue Year 2022 Volume: 39 Issue: 4

Cite

APA Al, M. (2022). Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery. Journal of Experimental and Clinical Medicine, 39(4), 1223-1229.
AMA Al M. Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery. J. Exp. Clin. Med. October 2022;39(4):1223-1229.
Chicago Al, Muzaffer. “Risk Factors Associated With the Development of Trocar Site Hernia After Laparoscopic Bariatric-Metabolic Surgery”. Journal of Experimental and Clinical Medicine 39, no. 4 (October 2022): 1223-29.
EndNote Al M (October 1, 2022) Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery. Journal of Experimental and Clinical Medicine 39 4 1223–1229.
IEEE M. Al, “Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery”, J. Exp. Clin. Med., vol. 39, no. 4, pp. 1223–1229, 2022.
ISNAD Al, Muzaffer. “Risk Factors Associated With the Development of Trocar Site Hernia After Laparoscopic Bariatric-Metabolic Surgery”. Journal of Experimental and Clinical Medicine 39/4 (October 2022), 1223-1229.
JAMA Al M. Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery. J. Exp. Clin. Med. 2022;39:1223–1229.
MLA Al, Muzaffer. “Risk Factors Associated With the Development of Trocar Site Hernia After Laparoscopic Bariatric-Metabolic Surgery”. Journal of Experimental and Clinical Medicine, vol. 39, no. 4, 2022, pp. 1223-9.
Vancouver Al M. Risk factors associated with the development of trocar site hernia after laparoscopic bariatric-metabolic surgery. J. Exp. Clin. Med. 2022;39(4):1223-9.