Umbilical port site hernia and diastasis recti
Open accessAbstract
Purpose: The port site hernia (PSH) is a specific type of incisional hernia related to the trocar sites of laparoscopic surgery. Diastasis recti of the abdominis muscle (DR) is the separation of the rectus muscle by a certain distance. The present study aims to present our experience with umbilical PSH and concomitant DR and to raise awareness of DR as one of the risk factors of umbilical PSH. Methods: Eighteen patients with umbilical PSH after laparoscopic abdominal surgery, was retrospectively reviewed. Preoperative CT was analyzed to measure the Inter-recti distance (IRD) for all patients. Other factors, such as trocar size, wound infection, obesity (BMI), port extension, suture materials, and pre-existing co-morbidities, were recorded and analyzed. Results: Extension of the port incision was associated with umbilical PSH. Ten out of eighteen umbilical PSH patients (56%) had DR before they had first laparoscopic surgery. Nine (50%) patients showed sarcopenia. Moreover, four out of five recurrences had DR. More than two recurrences were all associated with DR. Conclusion: Port extension and sarcopenia were risk factors of umbilical PSH. Also, DR might be a possible risk factor of umbilical PSH occurrence and recurrence. Surgeons should be aware of the presence of DR before the planning of the laparoscopic surgery by diagnostic imaging. If DR is associated with umbilical PSH, we need to consider the correction of both pathologies at the same time.
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Umbilical port-site hernia was linked to the port incision's extension.
“He observed that umbilical PSH was linked to the port incision's extension.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [6]
Sarcopenia and port extension were risk factors for umbilical port-site hernia.
“Thus, the author concluded that sarcopenia and port extension were risk factors for umbilical PSH.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [6]
Diastasis recti may be a potential risk factor for the development and recurrence of umbilical port-site hernia.
“Additionally, DR may be a potential risk factor for the development and recurrence of umbilical PSH.”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [6]
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- Authors
- Ki, H. J., Park, J. B., & Sul, J.-Y.
- Affiliations
- Chungnam National University (KR)
- Department of Surgery, Chungnam National University College of Medicine, Chungnam National University Hospital, Daejeon, Korea
- Corresponding author
- Sul, Ji-Young
- Venue
- The Journal of Minimally Invasive Surgery
- Published
- 2020-06-15
- Volume
- 23
- Issue
- 2
- Pages
- 80-85
- ISSN
- 1738-7884 (ISSN-L)
- 2234-778X
- 2234-5248
- PMC
- PMC8985617
- OpenAlex
- W3036855163
- Cited by
- 8
- References
- 13
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 3
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Daehan nae'si'gyeong bog'gang'gyeong oe'gwa haghoeji/Journal of minimally invasive surgery (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Congenital Anomalies and Fetal Surgery
- Keywords
- diastasis recti abdominis, incisional hernia, laparoscopic surgery, sarcopenia, inter-recti distance, hernia recurrence, risk factors, rectus abdominis
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