title: Incidence of port-site incisional hernia after single-incision laparoscopic surgery.
abstract: OBJECTIVE
  Single-incision laparoscopic surgery is gaining popularity among minimally invasive surgeons and is now being applied to a broad number of surgical procedures. Although this technique uses only 1 port, the diameter of the incision is larger than in standard laparoscopic surgery. The long-term incidence of port-site hernias after single-incision laparoscopic surgery has yet to be determined.
  
  
  METHODS
  All patients who underwent a single-incision laparoscopic surgical procedure from May 2008 through May 2009 were included in the study. Single-incision laparoscopic surgical operations were performed either by a multiport technique or with a 3-trocar single-incision laparoscopic surgery port. The patients were seen at 30 to 36 months' follow-up, at which time they were examined for any evidence of port-site incisional hernia. Patients found to have hernias on clinical examination underwent repairs with mesh.
  
  
  RESULTS
  A total of 211 patients met the criteria for inclusion in the study. The types of operations included were cholecystectomy, appendectomy, sleeve gastrectomy, gastric banding, Nissen fundoplication, colectomy, and gastrojejunostomy. We found a port-site hernia rate of 2.9% at 30 to 36 months' follow-up.
  
  
  CONCLUSIONS
  Port-site incisional hernia after single-incision laparoscopic surgical procedures remains a major setback for patients. The true incidence remains largely unknown because most patients are asymptomatic and therefore do not seek surgical aid.
authors: Department of Surgery, Montefiore Medical Center at Albert Einstein College of Medicine, New York, NY, USA; Department of Surgery, Montefiore Medical Center at Albert Einstein College of Medicine, 3400 Bainbridge Ave, Bronx NY 10467, USA. eagaba@gmail.com.
authors: Emmanuel Atta
authors: EA
authors: Agaba
authors: Department of Surgery, Montefiore Medical Center at Albert Einstein College of Medicine, New York, NY, USA.
authors: Harvey
authors: H
authors: Rainville
authors: Department of Surgery, Montefiore Medical Center at Albert Einstein College of Medicine, New York, NY, USA.
authors: Ojinika
authors: O
authors: Ikedilo
authors: Department of Surgery, Montefiore Medical Center at Albert Einstein College of Medicine, New York, NY, USA.
authors: Pratibha
authors: P
authors: Vemulapali
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy; D050110:Bariatric Surgery; D002763:Cholecystectomy; D003082:Colectomy; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D015994:Incidence; D000069290:Incisional Hernia / Q000209:etiology*; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult