Trocar site hernias from using bladeless trocars: should fascial closure be performed?
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چکیده
منابع مشابه
Trocar site hernias from using bladeless trocars: should fascial closure be performed?
Laparoscopic surgery is the modality of choice in the surgical treatment of colorectal malignancies. The reported incidence of trocar site hernias is 0.65-2.80% with conventional cutting-tip trocars, and this risk increases with the diameter of the trocar. Newer bladeless, blunt-tipped trocars effectively mitigate this risk, and routine fascial closure has been generally deemed unnecessary. We ...
متن کاملIncarcerated Hernia in 11-mm Nonbladed Trocar Site Following Laparoscopic Appendectomy
BACKGROUND Nonbladed trocars are considered less traumatic to the abdominal wall due to the lack of fascial incision. It has been suggested that closure of the abdominal fascia may be unnecessary when such nonbladed trocars are used. CASE REPORT We report on 2 patients who were diagnosed with trocar-site hernias 2 days after laparoscopic appendectomy performed using 11-mm nonbladed trocars. ...
متن کاملLaparoscopic 5-mm Trocar Site Herniation and Literature Review
OBJECTIVE To evaluate the evidence for fascial closure of 5-mm laparoscopic trocar sites. METHODS We conducted electronic database searches of PubMed and the Cochrane Library for articles published between November 2008 and December 2010. We used the keywords trocar hernia, trocar-site hernia, laparoscopic hernia, trocar port-site hernia, laparoscopic port-site hernia. Prospective and retrosp...
متن کاملTrocar Site Closure: A Simple, Inexpensive Technique
Trocar site complications continue to plague laparoscopic surgeons. Described in this report is an inexpensive simple technique to close all layers of the trocar site defect.
متن کاملThe Use of Blunt-tipped 12-mm Trocars Without Fascial Closure in Laparoscopic Live Donor Nephrectomy
OBJECTIVES Blunt-tipped trocar placement may eliminate the need for fascial closure in transperitoneal laparoscopic live donor nephrectomies (LDN). The process of 12-mm blunt-tipped trocar insertion through the abdominal wall involves fascial and muscle spreading, not incision. Coaptation of the tissue layers occurs during withdrawal of the trocar, preventing volume gaps that can be prone to he...
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ژورنال
عنوان ژورنال: Journal of Surgical Case Reports
سال: 2014
ISSN: 2042-8812
DOI: 10.1093/jscr/rju044