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Dergiler / Turkish Journal of Obstetrics and Gynecology / 2020 / Cilt: 17 - Sayı: 3

Asymptomatic trocar site hernias: An underestimated complication of laparoscopy

Asemptomatik trokar bölgesi hernileri: Laparoskopinin azımsanan komplikasyonu

Emin ÜSTÜNYURT
Fatma Nurgül TAŞGÖZ
Sefa TIĞRAK
Sayfa
202–208
DOI
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Parity ≥3 [odds ratio (OR), 3.13; 95% confidence interval (CI): 1.21-8.09; p=0.018], and not closing fascia (OR: 6.74; 95% CI: 2.72-16.70; p<0.001) were statistically significant risk factors for the development of TSH in multivariate analysis.Conclusion: The prevalence of TSH is higher than previously reported, and ultrasonographic examination is adequate for detecting subclinical types of this complication.

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Amaç & Hipotez:Objective: To estimate the exact incidence of trocar site hernia (TSH) through sonographic examination and to evaluate the predisposing risk factors of TSH.Materials and Methods: Three hundred patients who underwent laparoscopic surgery for benign gynecologic indications were included in this study and called back for a follow-up visit.
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Temel Bulgular & Veri:Results: Twenty-five (8.3%) TSHs were diagnosed among 300 postoperative laparoscopies.
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Sonuç & Katkı:Parity ≥3 [odds ratio (OR), 3.13; 95% confidence interval (CI): 1.21-8.09; p=0.018], and not closing fascia (OR: 6.74; 95% CI: 2.72-16.70; p<0.001) were statistically significant risk factors for the development of TSH in multivariate analysis.Conclusion: The prevalence of TSH is higher than previously reported, and ultrasonographic examination is adequate for detecting subclinical types of this complication.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: To estimate the exact incidence of trocar site hernia (TSH) through sonographic examination and to evaluate the predisposing risk factors of TSH.Materials and Methods: Three hundred patients who underwent laparoscopic surgery for benign gynecologic indications were included in this study and called back for a follow-up visit. All patients underwent an ultrasound evaluation for the detection of TSH. Risk factors for TSH formation were investigated. Results: Twenty-five (8.3%) TSHs were diagnosed among 300 postoperative laparoscopies. The highest rate of TSH development among the surgeries was found in tubal ligation cases with 19%. Parity ≥3 [odds ratio (OR), 3.13; 95% confidence interval (CI): 1.21-8.09; p=0.018], and not closing fascia (OR: 6.74; 95% CI: 2.72-16.70; p<0.001) were statistically significant risk factors for the development of TSH in multivariate analysis.Conclusion: The prevalence of TSH is higher than previously reported, and ultrasonographic examination is adequate for detecting subclinical types of this complication.

Abstract

Amaç: Bu çalışmanın temel amacı sonografik inceleme ile trokar bölgesi hernisinin (TSH) kesin insidansını tahmin etmek ve TSH’nin predispozan risk faktörlerini değerlendirmektir.Gereç ve Yöntemler: Benign jinekolojik endikasyonlar için laparoskopik operasyon geçiren 300 hasta çalışmaya dahil edildi ve tekrar takip ziyareti için çağırıldı. Tüm hastalara TSH saptanması için ultrason değerlendirmesi yapıldı. TSH oluşumu için risk faktörleri araştırıldı.Bulgular: Üç yüz laparoskopik ameliyat sonrasında yirmi beş (%8,3) TSH tanısı kondu. Operasyonlar arasında en yüksek TSH gelişimi oranı %19 ile tubal ligasyon olgularında bulundu. Çok değişkenli analizde parite ≥3 [olasılık oranı (OR), 3,13; %95 güven aralığı (GA), 1,21 ila 8,09; p=0,018] ve kapatılmamış fasya (OR: 6,74; %95 GA: 2,72 ila 16,70; p<0,001) TSH gelişimi için istatistiksel olarak anlamlı risk faktörleri idi.Sonuç: TSH prevalansı daha önce bildirilenden daha fazladır ve ultrasonografik inceleme bu komplikasyonun subklinik tiplerini tespit etmek için yeterlidir.

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Bu Makaleye Atıf Yap

ÜSTÜNYURT, E., TAŞGÖZ, F. N., TIĞRAK, S. (2020). Asymptomatic trocar site hernias: An underestimated complication of laparoscopy. Turkish Journal of Obstetrics and Gynecology, Cilt: 17 - Sayı: 3, 202–208. https://ajindex.com/articles/376408

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Kaynakça (14)

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