Fiyz̤ (Mar 2021)
Evaluation of the incidence of port site hernia after leaving the fascia open at the site of ten millimeter ports in colorectal resections
Abstract
Background: One of the rare but complicating consequences of laparoscopic surgery is port site hernia, while leaving the fascia open in the site of less than 10mm port is generally accepted. It still remains a debate whether to close the site of 10 mm ports or leave the fascia open. This study aimed to evaluate the incidence of port site hernia following laparoscopic colorectal resections. Materials and Methods: Between 2014 to 2016, files of all of the patients who had undergone laparoscopic colorectal resection in Shiraz Faghihi hospital were reviewed retrospectively. Demographic data (age, sex and BMI) were extracted from the database. Then patient’s file was also reviewed for the kind of resection, port configuration, recovery issues, port site fascia closure and incidence of port site hernia post operatively. Gathered data were entered to SPSS database using descriptive (frequency, dispersion and central tendency indices) and analytic (independent t test and chi square) statistics using version 20 of this software. Results: Files of 325 patients (184 male) with mean age of 56.41±14.09 (interval: 25-94) years old and mean BMI of 24.05±5.56 Kg/m2 were reviewed. 205 patients (63.1%) were rectal cancer and the rest of them were colon cancer cases. During study no case of port site hernia was detected and the prevalence of port site hernia was zero during one year follow up. Conclusion: this study showed that not closing the fascia at the site of 10 mm ports was a safe practice and was not related to postoperative port site hernia.
