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Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study
dc.contributor.author | Ciscar, Ana | |
dc.contributor.author | Badia, Josep M. | |
dc.contributor.author | Novell, Francesc | |
dc.contributor.author | Bolívar, Santiago | |
dc.contributor.author | Mans, Esther | |
dc.date.accessioned | 2022-01-13T15:03:32Z | |
dc.date.available | 2022-01-13T15:03:32Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Ciscar, Ana; Badia, Josep M.; Novell, Francesc [et al.]. Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study. BMC Surgery, 2020, 20, 330. Disponible en: <https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-020-01000-6>. Fecha de acceso: 13 ene. 2022. DOI: 10.1186/s12893-020-01000-6 | ca |
dc.identifier.issn | 1471-2482 | ca |
dc.identifier.uri | http://hdl.handle.net/20.500.12328/3058 | |
dc.description.abstract | Background: Trocar site incisional hernia (TSIH) is the most frequent complication associated with laparoscopic surgery. Few studies currently describe its incidence or risk factors. The aim of this report is to determine the real incidence of TSIH and to identify risk factors. Methods: A cross-sectional prospective study was performed including consecutive patients who underwent a laparoscopic procedure during a 4 months period. All the patients were assessed both clinically (TSIHc) and by an ultrasonographic examination (TSIHu). The main variable studied was the incidence of TSIH. A multivariate analysis was performed to identify risk factors. Results: 76 patients were included. 27.6% of patients were clinically diagnosed as having TSIH (TSIHc) but only 23.7% of those cases were radiologically confirmed (TSIHu). In the logistic regression analysis, age > 70 years (OR 3.462 CI 1.14–10.515, p = 0.028) and body mass index (BMI) ≥ 30 kg/m2 (OR 3.313 CI 1.037–10.588, p = 0.043) were identified as risk factors for TSIH. The size of the trocar also showed statistically significant differences (p < 0.001). Mean follow-up time was 34 months. Conclusions: TSIH is under-diagnosed due to the lack of related symptomatology and the inadequacy of the postoperative follow-up period. We detected discrepancies between the clinical and ultrasonographic examinations. TSIHu should be considered as the gold standard for the diagnosis of TSIH. Risk factors such as age, BMI and size of the trocar were confirmed. Patients should be followed-up for a minimum of 2 years. | en |
dc.format.extent | 7 | ca |
dc.language.iso | eng | ca |
dc.publisher | Springer Nature | ca |
dc.relation.ispartof | BMC Surgery | ca |
dc.relation.ispartofseries | 20; | |
dc.rights | © The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject.other | Hèrnia incisional | ca |
dc.subject.other | Cirurgia laparoscòpica | ca |
dc.subject.other | Factors de risc | ca |
dc.subject.other | Incidència | ca |
dc.subject.other | Hernia incisional | es |
dc.subject.other | Cirugía laparoscópica | es |
dc.subject.other | Factores de riesgo | es |
dc.subject.other | Incidencia | es |
dc.subject.other | Incisional hernia | en |
dc.subject.other | Laparoscopic surgery | en |
dc.subject.other | Risk factors | en |
dc.subject.other | Incidence | en |
dc.title | Incidence and risk factors for trocar-site incisional hernia detected by clinical and ultrasound examination: a prospective observational study | en |
dc.type | info:eu-repo/semantics/article | ca |
dc.description.version | info:eu-repo/semantics/publishedVersion | ca |
dc.rights.accessLevel | info:eu-repo/semantics/openAccess | |
dc.embargo.terms | cap | ca |
dc.subject.udc | 61 | ca |
dc.subject.udc | 617 | ca |
dc.identifier.doi | https://dx.doi.org/10.1186/s12893-020-01000-6 | ca |
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