Application of creating first trocar andpneumoperitoneum withdirect trocatin Laparoscopic incisional herniarepair

doi:10.3877/cma.j.issn.1674-392X.2019.01.010

Abstract

Abstract:

Objective

To discuss the clinical experience of creating first trocar with direct trocar in laparoscopic incisional hernia repair.

Methods

The clinical data of 48 patients undergoing laparoscopic incisional hernia repair from January 2009 to December 2016 were retrospectively analyzed.

Results

In this series, 4 patients needed to convert to laparotomy, the remaining patients were successfully completed surgery. The average operation time of the group was (157±90) minutes, the average bleeding was (112±33) mL, and the mean duration of the patients' stay in hospital was (23±18) days after operation. Another one patient had intestinal fistula after operation and was cured after conservative treatment. The other one patient with intestinal obstruction which was caused by intestinal adhesion, was cured by surgical treatment. One patient who was recurred were repaired by laparoscope again, and no recurrence was found after this operation. This group of patients had occasional abdominal vascular injured, no bowel and important vascular injured in creating first trocar, and none had seroma or chronic pain.

Conclusion

It is safe and reliable to establish the first trocar and pneumoperitoneum with direct trocar in the laparoscopic incisional hernia repair. It is worthy to spread.

Key words: Incisional hernia, Direct trocar, Pneumoperitoneum, Laparoscopes

Jiyu Li, Ming Cui, Zegang Liu, Ying Chen, Mei Feng. Application of creating first trocar andpneumoperitoneum withdirect trocatin Laparoscopic incisional herniarepair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 36-38.

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