The protective effect of body mass index in overweight patients with herniation through unclosed port of trocar : a randomized clinical trial
Joint Authors
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 9, Issue 2 (30 Apr. 2007), pp.69-73, 5 p.
Publisher
Publication Date
2007-04-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background: The incidence of trocar site herniation differs in various studies.
The incidence of these hernias is increased in patients who experience significant weight gain postoperatively. The aim of this study was to compare the complication of closed trocar port site with open port and effect of body mass index on the herniation using trocar site incision in laparoscopic surgery. Methods: In this prospective, randomized clinical, a total of 100 patients were scheduled to undergo appendectomy, cholecystectomy, ovarian cyst excision, herniorraphy and diagnostic laparoscopy at the Surgical Gastroenterology Service of The Baqiyatallah Hospital. Patients were randomly distributed into group OP (open port, n= 52) and group CP (closed port, n = 48).
The follow up intervals were at 3 and 12 months after surgical operation Results: Five patients in OP group developed incision hernia.
Regarding infection, hematoma, there was no significant difference between the two groups.
Surprisingly, in OP group the average BMI (kg/m²) in herniated patients was significantly less than nonherniated cases. Conclusion: An important step to avoid post laparoscopic hernias is suturing the fascia whenever the trocar diameter exceeds 10 mm.
If surgeons tend to have an open trocar site of 10 mm, particularly in facial defects; the trocar site is protected from incision hernia in obese patients with high BMI.
American Psychological Association (APA)
Khatami, S. M.& Fanaie, S. A.. 2007. The protective effect of body mass index in overweight patients with herniation through unclosed port of trocar : a randomized clinical trial. Iranian Red Crescent Medical Journal،Vol. 9, no. 2, pp.69-73.
https://search.emarefa.net/detail/BIM-29020
Modern Language Association (MLA)
Khatami, S. M.& Fanaie, S. A.. The protective effect of body mass index in overweight patients with herniation through unclosed port of trocar : a randomized clinical trial. Iranian Red Crescent Medical Journal Vol. 9, no. 2 (Apr. 2007), pp.69-73.
https://search.emarefa.net/detail/BIM-29020
American Medical Association (AMA)
Khatami, S. M.& Fanaie, S. A.. The protective effect of body mass index in overweight patients with herniation through unclosed port of trocar : a randomized clinical trial. Iranian Red Crescent Medical Journal. 2007. Vol. 9, no. 2, pp.69-73.
https://search.emarefa.net/detail/BIM-29020
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 73
Record ID
BIM-29020