205 Single-Centre Review on Incisional Hernia After Laparoscopic Anterior Resection: What Is the Ideal Incision for Specimen Extraction?

Abstract Aim Midline incision was reported as the common site of incisional hernia (IH) after hand-assisted laparoscopic anterior resection (LAR). There is no consensus on ideal for specimen extraction. Our aim to compare rate IH at various extraction sites our institution. Method We retrospectively reviewed data 90 cases LAR from May 2015 February 2018. Patients were divided into three groups such Pfannenstiel, iliac fossa (ILF) and midline. Age, sex, BMI, diabetes, steroid use, smoking, wound infection, hernia, post-operative hospital stays (HS) length follow up (LOF) compared among these groups. Results 13, 44 & 33 patients in ILF midline significant difference age, gender, mean LOF group had highest prevalence diabetes (27%), BMI 28.91, infection (16%), incidence (16%). The age 72.45 years longest HS 11.45 days (p < 0.003). At 49-month up, none Pfannenstiel developed or (0%). However, there strong association between type 0.248). Conclusions Although found have lowest IH, analysis not due small sample. suggest future studies larger samples with proper randomization propose that