Trocar Site Hernias in Bariatric Surgery-an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis.
Adipositas
Bariatric surgery
Incisional hernia
Port site hernia
Surgical morbidity
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
pubmed:
20
1
2019
medline:
25
3
2020
entrez:
20
1
2019
Statut:
ppublish
Résumé
The reported incidence of trocar site hernias in bariatric surgery ranges between 0.5 and 3%. The best available evidence derives from retrospective studies analysing prospective databases, thus including only patients who presented with symptoms or received surgical treatment due to trocar site hernias after a laparoscopic bariatric procedure. A systematic literature research was conducted up until September 2017. Search strategies included proper combinations of the MeSH terms 'laparoscopy' and 'bariatric surgery', 'trocar/port' and 'hernia'. Searches were not limited by publication type or language. The review was registered in PROSPERO (ID 85102) and performed according to the PRISMA guidelines. Sixty-eight publications were included. Pooled hernia incidence was 3.22 (range 0-39.3%). Thirteen trials reported systematic closure of the fascia; 12 trials reported no closure. Data availability did not allow for pooling to calculate relative risk. Higher BMI and specific hernia examination using imaging modalities were associated with a significantly higher incidence of trocar site hernias. Studies dedicated to detection of TsH reported a pooled incidence of 24.5%. Trocar site hernias are an underestimated complication of minimally invasive multiportal bariatric surgery. While high-quality trials are not available allowing for a precise calculation of the incidence, existing data are indicative of very high incidence rates. Risk factors for developing a trocar site hernia in bariatric surgery have not yet been systematically analysed. Prospective studies in this field are necessary.
Identifiants
pubmed: 30659465
doi: 10.1007/s11695-018-03687-2
pii: 10.1007/s11695-018-03687-2
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1049-1057Commentaires et corrections
Type : ErratumIn
Références
Obes Surg. 2008 Nov;18(11):1489-91
pubmed: 18574643
Urology. 1996 Oct;48(4):562-7
pubmed: 8886061
Surg Obes Relat Dis. 2008 May-Jun;4(3 Suppl):S31-8
pubmed: 18501313
Obes Surg. 2016 Mar;26(3):546-51
pubmed: 26164327
J Laparoendosc Adv Surg Tech A. 2014 Feb;24(2):83-8
pubmed: 24432970
Obes Surg. 2002 Oct;12(5):682-4
pubmed: 12448392
Obes Surg. 2009 Jun;19(6):684-7
pubmed: 18923879
Ann Surg. 2000 Oct;232(4):515-29
pubmed: 10998650
Obes Surg. 2015 Apr;25(4):607-14
pubmed: 25322809
Radiology. 2000 Aug;216(2):389-94
pubmed: 10924559
Int J Surg. 2016 Apr;28 Suppl 1:S124-7
pubmed: 26708855
Surg Obes Relat Dis. 2015 Jul-Aug;11(4):791-6
pubmed: 25863538
Obes Surg. 2010 Apr;20(4):410-4
pubmed: 18542848
Surg Technol Int. 2017 Jul 25;30:170-174
pubmed: 28696492
Am J Obstet Gynecol. 1993 May;168(5):1493-5
pubmed: 8498433
Obes Surg. 2004 Mar;14(3):407-14
pubmed: 15072664
J Visc Surg. 2013 Nov;150(5):307-12
pubmed: 24060743
J Gastrointest Surg. 2007 Nov;11(11):1470-6; discussion 1446-7
pubmed: 17763916
Obes Surg. 2004 May;14(5):655-8
pubmed: 15186634
Surg Endosc. 2005 Apr;19(4):525-30
pubmed: 15759184
Obes Surg. 2005 May;15(5):648-54
pubmed: 15946455
J Laparoendosc Adv Surg Tech A. 2017 Jun;27(6):633-635
pubmed: 27805453
Surg Endosc. 2014 Oct;28(10):2890-8
pubmed: 24789133
Obes Surg. 1999 Feb;9(1):44-7
pubmed: 10065581
Am J Surg. 2002 Dec;184(6):617-20; discussion 620
pubmed: 12488190
Obes Surg. 2008 Sep;18(9):1130-3
pubmed: 18566866
Obes Surg. 2011 Apr;21(4):473-8
pubmed: 20652760
JAMA. 2016 Jun 7;315(21):2284-91
pubmed: 27272580
Surg Endosc. 2005 Jan;19(1):21-8
pubmed: 15549627
Obes Surg. 2006 Jul;16(7):913-8
pubmed: 16839493
Obes Surg. 2003 Dec;13(6):861-4
pubmed: 14738671
Ann Surg. 2003 Jan;237(1):1-9
pubmed: 12496523
Int J Surg. 2010;8(1):69-71
pubmed: 19944193
Int J Gynecol Cancer. 2013 Jun;23(5):935-42
pubmed: 23694984
J Laparoendosc Adv Surg Tech A. 2001 Dec;11(6):377-82
pubmed: 11814129
J Laparoendosc Adv Surg Tech A. 1999 Feb;9(1):23-30
pubmed: 10194689
World J Surg. 2010 Apr;34(4):765-7
pubmed: 20049436
J Laparoendosc Adv Surg Tech A. 2016 May;26(5):361-5
pubmed: 26978594
Obes Surg. 2005 Mar;15(3):361-5
pubmed: 15826470
Obes Surg. 2002 Aug;12(4):564-8
pubmed: 12194552
Ann Surg. 2010 Aug;252(2):319-24
pubmed: 20622654
Cir Esp. 2013 May;91(5):294-300
pubmed: 23477445
Obes Surg. 2001 Jun;11(3):315-7
pubmed: 11433908
Obes Surg. 2000 Dec;10(6):509-13
pubmed: 11175957
Obes Surg. 2016 Sep;26(9):2045-2050
pubmed: 26757919
J Laparoendosc Adv Surg Tech A. 2001 Jun;11(3):171-3
pubmed: 11441996
Obes Surg. 2018 Feb;28(2):313-322
pubmed: 28822052
Obes Surg. 2003 Apr;13(2):294-6
pubmed: 12740142
Obes Surg. 2014 Jun;24(6):855-60
pubmed: 24442420
Int J Surg. 2014;12 Suppl 1:S83-6
pubmed: 24862661
Obes Surg. 2011 Nov;21(11):1682-6
pubmed: 21618063
Gastroenterol Res Pract. 2016;2016:7090128
pubmed: 27274724
Ann Surg. 2008 May;247(5):771-8
pubmed: 18438114
Surg Endosc. 2017 Dec;31(12):4883-4887
pubmed: 28342129
Obes Surg. 2008 May;18(5):560-5
pubmed: 18317859
Surg Endosc. 2005 Dec;19(12):1631-5
pubmed: 16235124
Obes Surg. 2002 Jun;12(3):362-5
pubmed: 12082888
Surg Endosc. 2002 Feb;16(2):230-3
pubmed: 11967669
Obes Surg. 2011 Aug;21(8):1209-19
pubmed: 20676940
Obes Surg. 2009 May;19(5):544-8
pubmed: 19280267
J Robot Surg. 2013 Sep;7(3):261-6
pubmed: 27000921
Surg Endosc. 2006 Oct;20(10):1584-6
pubmed: 16902746
Surg Endosc. 2007 Jan;21(1):124-8
pubmed: 16960672
ANZ J Surg. 2015 Sep;85(9):673-7
pubmed: 24354405
Wideochir Inne Tech Maloinwazyjne. 2017 Jun;12(2):140-146
pubmed: 28694899
Hernia. 2012 Aug;16(4):431-7
pubmed: 22714582
Ann Surg. 2006 Feb;243(2):181-8
pubmed: 16432350
Obes Surg. 2017 May;27(5):1391
pubmed: 28243858
Ann Surg. 2002 May;235(5):640-5; discussion 645-7
pubmed: 11981209
Obes Surg. 2005 Oct;15(9):1292-8
pubmed: 16259890
Surg Obes Relat Dis. 2014 Mar-Apr;10(2):284-9
pubmed: 24582414
Obes Surg. 2016 Sep;26(9):2227-2228
pubmed: 27392973