4. Trocar site incisional hernias

Authors

  • A.B. Fursov Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • A.A. Mendybaev Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • B.А. Ismagambetova Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • I.S. Volchkova Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • T.F. Kovalenko Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • I.Y. Sagatov A.N. Syzganov National scientific center of surgery, Almaty, Kazakhstan
  • R.А. Fursov Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • B.B. Alataev Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan
  • I.Y. Samigolla Astana medical university, Department of surgical diseases, Bariatric surgery and neurosurgery, Astana, Kazakhstan

DOI:

https://doi.org/10.35805/BSK2023II004

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Abstract

Objective: to analyse the incidence of trocar site hernias among patients admitted to the surgical clinic on an emergency basis with a diagnosis of an incarcerated hernia..

Materials and methods. The retrospective and prospective study; the follow-up period is 10 years. A statistical analysis of patients with incarcerated hernias had been performed. A total of 1,448 subjects was selected for the study. Of these, 825 (57.0%) patients were diagnosed with incarcerated hernias of various localizations. The diagnosis of incarceration among 623 (43.0%) subjects proved to be false, and the hernias of these patients were classified as “reducible” and “irreducible” hernias..

Results. An analysis of the operations revealed 34 patients with trocar site hernias, representing 2.34% of the total number of patients admitted to hospital with hernias and 4.93% of those operated on an emergency basis..

Conclusion. The rare, partial incarceration of the omentum and small intestine, the so-called Richter’s hernia, after using 5-mm-diameter trocars was revealed in 4 people operated on previously (3 to 5 years). Moreover, the hernial orifice (abdominal wall defect) at the time of our operation turned out to be significantly larger than after puncture with a 5-mm trocar. A direct correlation was found between the incidence of trocar site hernia and the degree of obesity, body mass index.

Keywords

incarcerated hernias, trocar site hernias, Richter’s hernia

References

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Published

2023-05-16

Issue

No. 2 (2023)

Section

Статьи