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Port Site Hernias Following Laparoscopic Ventral Hernia Repair

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Abstract

Background

Port site hernias (PSH) are underreported following laparoscopic ventral hernia repair (LVHR). Most occur at the site of laterally placed 10–12-mm ports used to introduce large pieces of mesh. One alternative is to place the large port through the ventral hernia defect; however, there is potential for increased risk of surgical site infection (SSI). This study evaluates the outcomes when introducing mesh through a 10–12-mm port placed through the hernia defect.

Methods

This was a retrospective case series of patients who underwent LVHR in three prospective trials from 2014–2017 at one institution. All patients had mesh introduced through a 10–12-mm port placed through the ventral hernia defect. The primary outcome was SSI. Secondary outcomes were hernia occurrences including recurrences and PSH.

Results

A total of 315 eligible patients underwent LVHR with a median (range) follow-up of 21 (11–41) months. Many patients were obese (66.9%), recently quit tobacco use (8.8%), or had diabetes (18.9%). Most patients had an incisional hernia (61.2%), and 19.2% were recurrent. Hernias were on average 4.8 ± 3.8 cm in width. Two patients (0.6%) had an SSI. Fourteen patients had a hernia occurrence—13 (4.4%) had a recurrent hernia, and one patient (0.3%) had a PSH.

Conclusion

During LVHR, introduction of mesh through a 10–12-mm port placed through the hernia defect is associated with a low risk of SSI and low risk of hernia occurrence. While further studies are needed to confirm these results, mesh can be safely introduced through a port through the defect.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, 5656 Kelley St, Houston, TX, 77026, USA

    Naila H. Dhanani, Karla Bernardi, Oscar A. Olavarria, Deepa Cherla, Lillian S. Kao, Tien C. Ko, Mike K. Liang & Julie L. Holihan

Authors
  1. Naila H. Dhanani
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  2. Karla Bernardi
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  3. Oscar A. Olavarria
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  4. Deepa Cherla
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  5. Lillian S. Kao
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  6. Tien C. Ko
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  7. Mike K. Liang
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  8. Julie L. Holihan
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Corresponding author

Correspondence to Naila H. Dhanani.

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Institutional Review Board approval was obtained.

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Informed consent was obtained from all individual participants included in the study.

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Dhanani, N.H., Bernardi, K., Olavarria, O.A. et al. Port Site Hernias Following Laparoscopic Ventral Hernia Repair. World J Surg 44, 4093–4097 (2020). https://doi.org/10.1007/s00268-020-05757-y

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  • DOI: https://doi.org/10.1007/s00268-020-05757-y

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