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 effec...

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Detalles Bibliográficos
Autores principales: Lee, June, Zheng, Xiao Jin, Ng, Chee Yung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021384/
https://www.ncbi.nlm.nih.gov/pubmed/24876513
http://dx.doi.org/10.1093/jscr/rju044
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author Lee, June
Zheng, Xiao Jin
Ng, Chee Yung
author_facet Lee, June
Zheng, Xiao Jin
Ng, Chee Yung
author_sort Lee, June
collection PubMed
description 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 present two cases of trocar site hernias despite the use of bladeless trocars in laparoscopic colorectal surgery, challenging the conventional wisdom of leaving such fascial defects open.
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spelling pubmed-40213842014-05-15 Trocar site hernias from using bladeless trocars: should fascial closure be performed? Lee, June Zheng, Xiao Jin Ng, Chee Yung J Surg Case Rep Case Reports 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 present two cases of trocar site hernias despite the use of bladeless trocars in laparoscopic colorectal surgery, challenging the conventional wisdom of leaving such fascial defects open. Oxford University Press 2014-05-15 /pmc/articles/PMC4021384/ /pubmed/24876513 http://dx.doi.org/10.1093/jscr/rju044 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Lee, June
Zheng, Xiao Jin
Ng, Chee Yung
Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title_full Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title_fullStr Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title_full_unstemmed Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title_short Trocar site hernias from using bladeless trocars: should fascial closure be performed?
title_sort trocar site hernias from using bladeless trocars: should fascial closure be performed?
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021384/
https://www.ncbi.nlm.nih.gov/pubmed/24876513
http://dx.doi.org/10.1093/jscr/rju044
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AT zhengxiaojin trocarsiteherniasfromusingbladelesstrocarsshouldfascialclosurebeperformed
AT ngcheeyung trocarsiteherniasfromusingbladelesstrocarsshouldfascialclosurebeperformed

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