EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Objective: Today, laparoscopic sleeve gastrectomy (LSG) has become the most frequently performed bariatric surgical method. One of the complications seen after LSG is trocar site hernia (TSH). There is no clear information about the rate of TSH detected radiologically after LSG. A thick abdominal wa...
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Istanbul University Press
2022-01-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/5F7F2BBF64464163A32E6AE383E1C8F3 |
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| author | Anıl Ergin Mehmet Mahir Fersahoğlu Nuriye Esen Bulut Aziz Bora Karip Ahmet Yalın İşcan Hüseyin Çiyiltepe Yasin Güneş İksan Taşdelen Kemal Memişoğlu |
| author_facet | Anıl Ergin Mehmet Mahir Fersahoğlu Nuriye Esen Bulut Aziz Bora Karip Ahmet Yalın İşcan Hüseyin Çiyiltepe Yasin Güneş İksan Taşdelen Kemal Memişoğlu |
| author_sort | Anıl Ergin |
| collection | DOAJ |
| description | Objective: Today, laparoscopic sleeve gastrectomy (LSG) has become the most frequently performed bariatric surgical method. One of the complications seen after LSG is trocar site hernia (TSH). There is no clear information about the rate of TSH detected radiologically after LSG. A thick abdominal wall and the failure to adequately expose the fascial defect related to this, as well as mobility limitations due to excessive subcutaneous fatty tissue, are the reasons for increased incidence of TSH. Materials and Methods: The demographic characteristics and postoperative weight loss of patients who underwent LSG procedures and whose fascial defects in the trocar region were repaired with the Carter-Thomason Suture Passer (CTSP) in our clinic between January 2015 and June 2017 were evaluated. TSH evaluation was performed both through physical examination and superficial USG by a general surgeon who had radiological training on concurrent superficial abdominal ultrasonography (USG). Detected TSHs were divided into two groups: symptomatic and asymptomatic. Results: A total of 61 patients were included in the study. The mean period after operation was calculated as 36 months (min 20, max 52). TSH was detected in seven (11.5%) of 61 patients, two of whom had symptomatic and five of whom had asymptomatic TSH. Being over 40 years of age and having a calculated body mass index (BMI) value greater than 30 kg/m2 during measurement were found to be the factors that significantly increased the incidence of TSH (p<0.05).Conclusions: Advanced age and inadequate weight loss are the factors that increase the rate of TSH after Sleeve Gastrectomy. |
| format | Article |
| id | doaj-art-ecbb65d3ea1849789ad586c37f7bfc07 |
| institution | DOAJ |
| issn | 1305-6441 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | İstanbul Tıp Fakültesi Dergisi |
| spelling | doaj-art-ecbb65d3ea1849789ad586c37f7bfc072025-08-20T02:57:26ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412022-01-01851354010.26650/IUITFD.947187123456EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMYAnıl Ergin0https://orcid.org/0000-0001-6450-7124Mehmet Mahir Fersahoğlu1https://orcid.org/0000-0003-2526-1832Nuriye Esen Bulut2https://orcid.org/0000-0002-4845-8964Aziz Bora Karip3https://orcid.org/0000-0001-9396-6055Ahmet Yalın İşcan4https://orcid.org/0000-0002-5576-9496Hüseyin Çiyiltepe5https://orcid.org/0000-0003-3048-1784Yasin Güneş6https://orcid.org/0000-0001-5355-8321İksan Taşdelen7https://orcid.org/0000-0001-9289-2744Kemal Memişoğlu8https://orcid.org/0000-0002-9486-4648Sağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bakanlığı, Ankara, Turkiyeİstanbul Üniversitesi, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeSağlık Bilimleri Üniversitesi, Istanbul, TurkiyeObjective: Today, laparoscopic sleeve gastrectomy (LSG) has become the most frequently performed bariatric surgical method. One of the complications seen after LSG is trocar site hernia (TSH). There is no clear information about the rate of TSH detected radiologically after LSG. A thick abdominal wall and the failure to adequately expose the fascial defect related to this, as well as mobility limitations due to excessive subcutaneous fatty tissue, are the reasons for increased incidence of TSH. Materials and Methods: The demographic characteristics and postoperative weight loss of patients who underwent LSG procedures and whose fascial defects in the trocar region were repaired with the Carter-Thomason Suture Passer (CTSP) in our clinic between January 2015 and June 2017 were evaluated. TSH evaluation was performed both through physical examination and superficial USG by a general surgeon who had radiological training on concurrent superficial abdominal ultrasonography (USG). Detected TSHs were divided into two groups: symptomatic and asymptomatic. Results: A total of 61 patients were included in the study. The mean period after operation was calculated as 36 months (min 20, max 52). TSH was detected in seven (11.5%) of 61 patients, two of whom had symptomatic and five of whom had asymptomatic TSH. Being over 40 years of age and having a calculated body mass index (BMI) value greater than 30 kg/m2 during measurement were found to be the factors that significantly increased the incidence of TSH (p<0.05).Conclusions: Advanced age and inadequate weight loss are the factors that increase the rate of TSH after Sleeve Gastrectomy.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/5F7F2BBF64464163A32E6AE383E1C8F3morbid obesitylaparoscopic sleeve gastrectomytrocar site herniacarter-thomason suture passer |
| spellingShingle | Anıl Ergin Mehmet Mahir Fersahoğlu Nuriye Esen Bulut Aziz Bora Karip Ahmet Yalın İşcan Hüseyin Çiyiltepe Yasin Güneş İksan Taşdelen Kemal Memişoğlu EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY İstanbul Tıp Fakültesi Dergisi morbid obesity laparoscopic sleeve gastrectomy trocar site hernia carter-thomason suture passer |
| title | EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY |
| title_full | EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY |
| title_fullStr | EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY |
| title_full_unstemmed | EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY |
| title_short | EVALUATION OF THE FREQUENCY OF TROCAR SITE HERNIA AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY |
| title_sort | evaluation of the frequency of trocar site hernia after laparoscopic sleeve gastrectomy |
| topic | morbid obesity laparoscopic sleeve gastrectomy trocar site hernia carter-thomason suture passer |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/5F7F2BBF64464163A32E6AE383E1C8F3 |
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