Port site hernia after laparoscopic sleeve gastrectomy: a retrospective cohort study of 352 patients

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dc.contributor.authorEce, İlhan
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorAlptekin, Hüsnü
dc.contributor.authorYormaz, Serdar
dc.contributor.authorÇolak, Bayram
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T19:55:15Z
dc.date.available2020-03-26T19:55:15Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPort site hernia (PSH) following laparoscopic procedures is a rare but serious complication. The aim of this study was to evaluate the rate of PSH after laparoscopic sleeve gastrectomy (LSG), and the efficacy of closure of the port site as a means of preventing PSH. A retrospective analysis was performed on 386 patients who underwent LSG between December 2009 and January 2015. 352 (91.2%) of the patient were followed up for at least 24 months. In the first 206 patients, the fascial layers of the trocar incisions were not closed, while in the next 146 cases, routine closure of the trocar sites was performed. The patients were reviewed in relation to demographics, comorbidities, complications, percentage of excess weight loss, and rates of PSH. The total cohort consisted of 220 female and 132 male patients with a mean age of 36.2 +/- 12.3 years. Demographic data, initial BMI, and comorbidities were similar for the patients in both groups. The closure of the fascia was caused by the prolonged duration of the operation with no significant difference. The unclosed fascial defects were associated with a significantly increased incidence of PSH (1.3 vs. 3.9%, p < 0.05). All of the patients who experienced PSH had at least one comorbidity, and no complication was noted in the fascial closure cases. It was found that the rate of PSH after LSG is not as low as previously thought, and that routine closure of fascial defects at port sites may result in a decreased PSH rate.en_US
dc.identifier.doi10.1007/s13304-017-0501-5en_US
dc.identifier.endpage95en_US
dc.identifier.issn2038-131Xen_US
dc.identifier.issn2038-3312en_US
dc.identifier.issue1en_US
dc.identifier.pmid29147959en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage91en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s13304-017-0501-5
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36877
dc.identifier.volume70en_US
dc.identifier.wosWOS:000428291900013en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGER-VERLAG ITALIA SRLen_US
dc.relation.ispartofUPDATES IN SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectObesityen_US
dc.subjectMorbiden_US
dc.subjectPort site herniaen_US
dc.subjectLaparoscopyen_US
dc.subjectTrocaren_US
dc.titlePort site hernia after laparoscopic sleeve gastrectomy: a retrospective cohort study of 352 patientsen_US
dc.typeArticleen_US

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