The Risk of Umbilical Hernia and Other Complications with Laparoendoscopic Single-Site Surgery

Gunderson, Camille C.; Knight, J.; Ybanez-Morano, J.; Ritter, Carol; Escobar, Pedro F.; Ibeanu, Okechukwu A.; Grumbine, Francis C.; Bedaiwy, Mohamed A.; Hurd, William W.; Fader, Amanda N.

doi:10.1016/j.jmig.2011.09.002

Cited by 87 publications

(45 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12,13 Herniation is a theoretical concern with the larger incision size, but there does not appear to be an increased risk of hernia with the LESS approach over traditional laparoscopy when the fascia is closed in a running, mass closure fashion with either a delayed absorbable or permanent suture. 24 Food and Drug Administration approval for R-LESS hysterectomy and adnexal surgery was granted in 2013, and preliminary case reports for gynecological procedures suggest favorable surgical outcomes. [25][26][27][28][29][30] Furthermore, with regard to gynecological oncology procedures, Escobar et al 27 demonstrated feasibility with the R-LESS platform in the cadaveric model, and a small case control study of endometrial cancer patients who underwent LESS or R-LESS demonstrated similar operative outcomes between the 2 cohorts.…”

Section: Gynecology Researchmentioning

confidence: 99%

Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique

Scheib

Fader

2015

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Section: Gynecology Researchmentioning

confidence: 99%

Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique

Scheib

Fader

2015

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

“…Umbilical hernia rate was reported as 2.4% after SI surgery 17 . In our series, the umblical hernia rate was found as 5.8%.…”

Section: Discussionmentioning

confidence: 99%

Single-Incision Laraposcopic Nissen Fundoplication for Gastroesophageal Reflux Disease Using Conventional Instruments

Yılmaz¹,

Alptekın²,

Şahin³

2013

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Since the early 1990s with the development of minimally invasive techniques, laparoscopic Nissen fundoplication has become the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD), and antireflux surgical treatment of GERD can be performed by the single incision laparoscopic technique. In this study, we aimed to assess the safety and feasibility of single incision laparoscopic Nissen fundoplication (SILNF) with a new liver retraction technique. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Ten patients underwent single incision laparoscopic Nissen fundoplication between October 2011 and March 2012. In all patients, upper gastrointestinal endoscopy was performed. Ambulatory 24-h pH impedance monitoring was performed in all patients. The skin, subcutaneous tissue and fascia were incised with a 20 mm vertical midline incision above the umbilicus, and a SILS-Port™ (Covidien Corp, Mansfield, MA, USA) was placed with conventional laparoscopic hand instruments. R Re es su ul lt ts s: : The procedure was successfully performed in all ten patients. The mean Johnson-DeMeester score was 29±7.9. The mean operation time was 93±14.1 minutes. The hiatal area was clearly visible with the new liver retraction technique which was applied in this study. None of the patients required conversion to an open procedure. Two patients required the insertion of an additional port. There were no intraoperative or early postoperative complications. C Co on nc cl lu us si io on n: : SILNF is safe and technically feasible, and it can be performed with conventional laparoscopic instruments.K Ke ey y W Wo or rd ds s: : Fundoplication; gastroesophageal reflux; surgical procedures, minimally invasive Ö ÖZ ZE ET T A Am ma aç ç: : 1990'lı yılların başından itibaren minimal invaziv tekniklerin gelişmesi ile gastroözofageal reflü hastalığının cerrahi tedavisinde antireflü cerrahisinin uygulamasında, laparoskopik Nissen fundoplikasyon ameliyatı altın standart haline gelmiştir. Laparoskopik Nissen fundoplikasyon tek kesi laparoskopik teknik kullanılarak da gerçekleştirilebilir. Bu çalışmada, yeni bir karaciğer retraksiyon tekniği kullanılarak yapılan tek kesi laparoskopik Nissen fundoplikasyon ameliyatının uygulanabilirliğinin ve güvenliğinin değerlendirilmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ekim 2011 ve Mart 2012 tarihleri arasında 10 hastaya tek kesi laparoskopik Nissen fundoplikasyon ameliyatı uygulandı. Operasyon öncesi tüm hastalar üst gastrointestinal sistem endoskopisi ile değerlendirildi ve 24 saatlik pH empedans izlemi yapıldı. Deri, derialtı dokusu ve fasya, göbek üzerinde 20 mm dikey orta hat kesi ile geçildi ve SILS-Port ™ (Covidien Corp, Mansfield, MA, USA) konvansiyonel laparoskopik el aletleri ile yerleştirildi. B Bu ul lg gu ul la ar r: : Tek kesi laparoskopik fundoplikasyon 10 hastanın tamamında başarıyla uygulandı. Ortalama Johnson-DeMeester skoru 29±7,9 idi. Ortalama ameliyat süresi 93±...

show abstract

“…In the experience of Gunderson et al [56], the risk of umbilical hernia with laparoendoscopic single-site surgery was 2.4 %. When they excluded some patients ("high risk" subjects for incisional disruption) from the analysis, the umbilical hernia rate was 0.5 %.…”

Section: Controversiesmentioning

confidence: 95%

Single-port laparoscopic surgery in gynecology—current status

Kondo

Ribeiro²,

Zomer

2012

Gynecol Surg

View full text Add to dashboard Cite

The objective of this study is to report the current status on single-port laparoscopic surgery in gynecology. A systematic MEDLINE review of the English language literature from 2007 to 2011 was performed using the search term "single-port surgery," which contained information on single-port laparoscopic surgery in gynecology. Overall, 1,152 patients (26 studies) were included in the analysis. The operative time varied according to the type of procedure. The conversion rate to conventional laparoscopy was 1.99 %, and the conversion rate to laparotomy was 0.35 %. Postoperative complications were encountered in 1.48 % of cases. Different gynecologic procedures have been effectively performed by means of single-port laparoscopic surgery. The procedure seems to be feasible, reproducible, and safe. Reduced pain and improved cosmesis are supposed to be the potential advantages of these procedures, but it was not completely confirmed yet! Further studies are still necessary to establish the real benefits of this new surgical approach over the traditional multi-port laparoscopy.

show abstract

The Risk of Umbilical Hernia and Other Complications with Laparoendoscopic Single-Site Surgery

Cited by 87 publications

References 32 publications

Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique

Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique

Single-Incision Laraposcopic Nissen Fundoplication for Gastroesophageal Reflux Disease Using Conventional Instruments

Single-port laparoscopic surgery in gynecology—current status

Contact Info

Product

Resources

About