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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2023, Vol. 16 ›› Issue (06): 382-384. doi: 10.3877/cma.j.issn.1674-6899.2023.06.013

• Review • Previous Articles    

High-risk factors and prevention of trocar site hernia after laparoscopic surgery

Bo Shi, Wen Gu()   

  1. Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, China
  • Received:2023-10-22 Online:2023-12-30 Published:2024-02-26
  • Contact: Wen Gu

Abstract:

In recent years, laparoscopic surgery has gradually become the primary surgical approach in the field of surgery due to its unique advantages in minimally invasive procedures compared to traditional surgery. With the continuous development and application of laparoscopic technology, there has been an increasingly comprehensive understanding of complications associated with laparoscopic procedures. Trocar site hernia (TSH), first reported by Fear in 1968, has seen a growing number of similar cases reported over time, drawing attention to the postoperative safety issues caused by this condition. The occurrence of trocar site hernia is attributed to defects at the puncture site, leading to the protrusion of intra-abdominal tissues or organs through the defect into the subcutaneous space. Once trocar site hernia occurs, it not only diminishes the patient's quality of life but also poses a life-threatening risk if intestinal incarceration accompanies it. Therefore, post-laparoscopy trocar site hernia should be given due attention, and the identification of relevant risk factors, along with the implementation of necessary preventive measures, holds significant clinical importance. This article provides a comprehensive review of the occurrence and prevention of trocar site hernia, aiming to serve as a reference for clinical practice.

Key words: Laparoscope, Trocar site hernia, Risk factor, Suture technique

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