INCIDENCE OF PORT SITE HERNIA POST LAPAROSCOPIC SLEEVE GASTROCTOMY tarik.azim@med.helwan.edu.eg

 

INCIDENCE OF PORT SITE HERNIA POST LAPAROSCOPIC SLEEVE GASTROCTOMY

3

 

 

 

 

Egypt

Oral only

Port 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 sites as a method of preventing PSH.

A prospective study was performed on 300 patients who had LSG . The patients were followed up for at least 24 months. In the first half of the patients, the fascial layers of the trocar incisions were not closed, while in the other half 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. Demographic data, initial BMI, and comorbidities were similar for the patients in both groups. The group with the unclosed fascial defects was associated with a statistically significant increased incidence of PSH (3.33%) in comparison with the other group . No complications were noted in the group with fascial closure.

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 the port sites may result in a decreased PSH rate. The closure of the fascial defect is a protective factor against the development of port site hernia when compared to non-fascial closure.