Trocar site hernia seen after laparoscopic surgery

Background: As the use of laparoscopy in the surgery increases, complications caused by laparoscopy also increase. Some among the mare trocar site hernias which are some kind of incisional hernia that develops from the location of the trocars used during the procedure. In this article, we aimed to evaluate the information of 8 patients who were treated with trocar site hernia in the context of the literature.
Materials and Methods: Between October 2014 and February 2018 in our hospital, files of 8 patients who were operated on with trocar site hernia were reviewed retrospectively. Factors causing the trocar site hernias were considered as factors related to the technique and factors related to the patient.
Results: As a result of patient information and literature review, technical factors of trocar site hernia formations are trocars diameter, the closure of fascia, trocar site, extension of specimen removal site; Factors associated with the patient include obesity, diabetes, nutrition, and infection.
Conclusion: As a result, the trocar sites developed more frequently from the trocar sites 10 mm and larger, but also from the 5 mm trocar sites. It is recommended to close the fascia of the trocars 10 mm and larger for the prevention. There is no consensus for 5 mm trocar sites; they can be stopped for patients with obesity, diabetes, COPD and other risk factors.