Incisional hernias after laparoscopy.
Laparoscopy, using a two-puncture technique, has been used for a variety of gynecologic indications for more than two decades. The procedure is considered safe and effective, although rare complications, such as incisional hernias, have been reported. In this review, the issue of postlaparoscopic incisional hernias is discussed in terms of incidence, predisposing factors, time of appearance, and preventive measures. With the evolvement of operative laparoscopy, larger trocars and cannulas have been introduced, increasing the incidence of postlaparoscopic incisional hernias. Awareness of the possibility of this complication will lead to the use of proper surgical techniques, as suggested, while knowledge of the postoperative signs and symptoms will lead to early diagnosis and prevention of sequelae.
Rabinerson
D
D
Department of Obstetrics and Gynecology, Rabin Medical Center, Petah Tiqva, Israel.
Avrech
O
O
Neri
A
A
Schoenfeld
A
A
D005260:Female; D006547:Hernia / Q000209:etiology*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D014945:Wound Healing