Table 1.
Incidence of Incisional Hernias and Other Complications Related to Trocars Placement After Laparoscopic Surgery
| Kadar et al7 | Coda et al11 | Leibl et al13 | Montz et al14 | This Study | |
|---|---|---|---|---|---|
| Population | 3560 | 1287 | 3000 | 4385000 | 70 |
| Trocar size | 10/12 mm | 11/12 mm | 12 mm (Sharp) | < or >10 mm | 12 mm (Blunt) |
| 13 mm (Blunt) | |||||
| Incisional hernias | N=6 (0.17%) | N=14 (1%) | 12 mm, n=11 (1.83%) | N=933 | None |
| 10 mm, n=1 | 13 mm, n=1 (0.17%) | >10 mm, n=725 (86.3%) | |||
| 12 mm, n=5 | |||||
| Trocar site | Extraumbilical | Extraumbilical and umbilical | Extraumbilical and umbilical | Extraumbilical and umbilical | Extraumbilical |
| Fascial closure | 30 Open | Not mentioned | Not mentioned | 17.9% despite | No |
| 3 Closed | fascial closure | ||||
| Other complications | Not mentioned | Not mentioned | 12-mm, trocar site bleeding (1.16%) | Not mentioned | None |
| 13 mm, no bleeding | |||||
| Incisional hernia contents | N=4 (bowel) | Not mentioned | Not mentioned | Large and small bowel; omentum | No |
| N=2 (omentum) | |||||
| Surgery type | Gynecology | General surgery | General surgery | Gynecology | Urology |
| Trocar tip design | Sharp | Sharp | Sharp (12 mm) | Sharp | Blunt |
| Blunt (13 mm) |