| Autor: |
Ingrid Marton, Marko Sever, Matija Prka, Alan Šerman, Tvrtko Tupek, Tino Klancir |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 43(1) |
| ISSN: |
1364-6893 |
| Popis: |
The increased use of laparoscopy has resulted in certain com-plications specifically associated with the laparoscopic approach like port-site hernia (PSH). PSH following laparo-scopic surgery is less common compared with incisional hernia occurring after open surgery. According to the literature, the incidence of PSH ranges from 0.2% to 3.1% (Swank et al. 2012). It is believed that port diameter and access technique affect the rate of hernia formation. In most of the reported cases, PSH appears when larger diameter port is used, in eld-erly and patients with higher body mass index (BMI). Extensive tissue manipulation, increased operative time and the effect of a partial vacuum while withdrawal of the port increase the risk of PSH formation (Tonouchi et al. 2004). Clinical signs include gross disruption of the wound and the drainage, presence of a bulge with exertion or Valsalva or painful bulge due to bowel or omentum incarceration. Patients usually present with clinical signs of bowel obstruction or infarction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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