Incisional Hernias after Laparoscopic Surgery

In 1987, Mouret performed the first laparoscopic cholecystectomy changing surgical practice and it was mentioned by Rosen and Ponsky.1 Then the laparoscopic abdominal surgery increased and was common by the 1990s.2 The adoption of this new technique resulted new, specific operative complications. Incisional hernias at the site of entry of a trocar is a serious complication in laparoscopy,3 as most trocar site hernias require further surgery.4 Fear5 reported first a trocar site hernia in his large series on abdominal laparoscopy in gynecological diagnosis. Many authors have recognized still this as the first report on trocar site hernias.2,6-8 Maio and Ruchman9 then reported on the trocar site hernia associated with small-bowel obstruction occurring immediately after laparoscopic cholecystectomy; this being the first report on trocar site hernias in digestive surgery. In the published reports there is enormously wide variation in the clinical aspects of trocar site hernias; so nowadays we became more concerned about the meaning of the medical term “trocar site hernia,” as it is not clearly defined.