| Chiu CC |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=3.759 ------>paper_class3=2 ------>paper_class2=1 ------>vol= ------>confirm_bywho=hj2166 ------>insert_bywho=poliwei ------>Jurnal_Rank=5.0 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2= ------>medlineContent= ------>unit=E0110 ------>insert_date=20080505 ------>iam=4 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=Obes Surg ------>paper_name=Prevention of trocar-wound hernia in laparoscopic bariatric operations ------>confirm_date=20080505 ------>tch_id=094116 ------>pmid=16839493 ------>page1= ------>fullAbstract=BACKGROUND: Morbid obesity is a risk for fascial wound dehiscence and incisional hernia after abdominal surgery. The development of minimally invasive surgical techniques has led to a dramatic decrease in these complications. However, laparoscopic surgery may still be followed by trocar-wound herniation. Various methods have been advocated for its prevention. METHODS: The records of 752 patients who underwent laparoscopic bariatric operations (610 mini-gastric bypass and 142 gastric banding) as treatment for morbid obesity between October 2001 and June 2005, with regular follow-up, were retrospectively reviewed. In all patients, the fascial layer of trocar wounds was not closed. Instead, a Surgicel plug was inserted into the muscle layer of trocar wounds of 10- and 12-mm diameter. RESULTS: 2 male patients in the mini-gastric bypass group developed a trocar wound hernia, for an overall prevalence of 0.33% (2/610). The intervals between surgery and diagnosis were 3 and 5 months respectively. In these 2 patients, the hernia occurred at the 12-mm trocar wound of the left midclavicular line, 2-3 cm below the costal margin, outside the left rectus muscle. These 2 patients have not developed intestinal obstruction as a consequence of the hernia, and have not undergone hernia repair. No patient in the gastric banding group has been found to develop a hernia. CONCLUSION: With our technique, the prevalence of trocar-wound hernia after laparoscopic bariatric surgery has been very rare. ------>tmu_sno=None ------>sno=18391 ------>authors2=Lee WJ ------>authors3=Wang W ------>authors4=Wei PL ------>authors5=Huang MT ------>authors6= ------>authors6_c= ------>authors=Chiu CC ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Prevention of trocar-wound hernia in laparoscopic bariatric operations. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2006 ------>submit_flag=None ------>publish_month=1 |