Risks of the Minimal Access Approach for Laparoscopic Surgery: Multivariate Analysis of Morbidity Related to Umbilical Trocar Insertion

@article{Mayol1997RisksOT,
  title={Risks of the Minimal Access Approach for Laparoscopic Surgery: Multivariate Analysis of Morbidity Related to Umbilical Trocar Insertion},
  author={Julio Mayol and Julio Garcia-Aguilar and Elena Ortiz-Oshiro and Jose A. De-Diego Carmona and Jes{\'u}s Alvarez Fern{\'a}ndez-Represa},
  journal={World Journal of Surgery},
  year={1997},
  volume={21},
  pages={529-533}
}
Abstract. The objective of this study was to determine the morbidity associated with trocar and needle insertion for laparoscopic surgery and to identify risk factors for complications. Data from a prospectively collected database of all laparoscopic operations performed at a major teaching hospital over a 4-year period were analyzed. In 203 patients closed laparoscopy (Veress needle plus blind trocar insertion) was used to establish the pneumoperitoneum. Open laparoscopy with a Hasson’s trocar… 
Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study
TLDR
After long-term follow-up, the incidence of trocar site hernias following laparoscopic cholecystectomy was higher than expected and the insertion of large trocars at the umbilical site plays a key role in the development of TSH.
Trocar-site incisional hernia after laparoscopic colorectal surgery: a significant problem? Incidence and risk factors from a single-center cohort
TLDR
Investigation of Trocar-site incisional hernia after laparoscopic colorectal surgery in a tertiary hospital found that most TSIH were observed in the umbilical Hasson trocar, which was the only risk factor for T SIH development in the multivariate analysis.
The incidence of trocar-site hernia in minimally invasive bariatric surgery: A comparison of multi versus single-port laparoscopy
TLDR
A low rate of trocar-site hernia can be achieved with the use of SPL in bariatric surgery, and on multivariate analysis, age, BMI, SPL, procedure type, and the postoperative weight loss were not associated with the development of tro car- site hernias.
Trocar site hernia following laparoscopic cholecystectomy: a 10-year single center experience
TLDR
The incidence of TSH following LC is considerably low, obesity is an independent risk factor for TSH development, while closure of fascial incision of 10 mm below the xiphoid is not justified.
Open laparoscopic access for primary trocar using modified Hasson's technique.
TLDR
Modified Hasson's technique for the primary trocar for accessing the abdominal cavity is a safe and effective method, and is recommended for all laparoscopic procedures in children.
Direct Trocar Insertion Technique: an Alternative for Creation of Pneumoperitoneum
TLDR
This study shows that that when performed by an experienced laparoscopic surgeon the direct trocar insertion technique is a safe and effective alternative for creation of pneumoperitoneum.
The Safety and Complications of “Z-entry” Technique of Trocar Insertion in Laparoscopic Gynecological Surgery
TLDR
This study showed that the rate of complications and problems due to insertion of trocar by the "Z-entry" method in laparoscopic gynecological surgeries is associated with minimal problems and complications and therefore this technique can be used as a safe method to insert trocar into the abdomen in Laparoscopic surgeries.
Primary access-related complications in laparoscopic cholecystectomy via the closed technique: experience of a single surgical team over more than 15 years
TLDR
Primary access-related complications during LC are common and can prove to be fatal if not identified early, and the incidence of these injuries with closed methods is no greater than with open methods.
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