Laparoscopic colorectal resection does not reduce incisional hernia rates when compared with open colorectal resection

Abstract

Laparoscopic colorectal resection does not appear to reduce incisional hernia rates when compared with open surgery. Large randomised trials are required to confirm these findings.

Long-Term Morbidity and Oncologic Outcomes of Laparoscopic-Assisted Anterior Resection for Upper Rectal Cancer

“…Similar negative findings have been reported by others. 20, 21 We have not analyzed the risk factors for wound-related complications in our study, but our data have clearly indicated that the laparoscopic approach with smaller wounds is not always associated with lower rates of wound infection and incisional hernia.…”

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

“…However, a mini-laparotomy is needed for specimen extraction, which may be the main reason for postoperative pain, wound infection, and incisional hernia in conventional laparoscopy [5][6][7]. Thus, development of less invasive methods by reducing the number and size of abdominal incisions represents a new tendency in surgical therapy.…”

Incisional hernia rate after laparoscopic colorectal resection is reduced with standardisation of specimen extraction

“…7,8 However, long-term data demonstrate that the incisional hernia rate is similar after laparoscopic and open colorectal resections. 9,10 Although there have been several reports in the literature looking at the incisional hernia rate after laparoscopic and open colorectal resections, there are relatively few studies investigating the possible association of site of specimen extraction and development of incisional hernias. The aim of this study was therefore to evaluate the effect of different extraction sites on the incisional hernia rate in laparoscopic colorectal resections.…”