1. Select the trocars you normally use.
2. Drag and drop in the desired position.
5mm
3/3
RISK
RISK
RISK
11mm
3/3
RISK
RISK
RISK
12mm
3/3
RISK
RISK
RISK
15mm
3/3
RISK
RISK
RISK
Lower quadrant placement presents a higher risk of PSH1
The fascia of all defects >10mm should be closed1
Higher number of trocars increases PSH risk1
Increased risk for patients with higher BMI1
References:
- Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia. 2010;15(2):113–121.
- Pyramidal trocars (bladed), 12-mm trocars and a long duration of surgery were identified as the most important technical risk factors for TSH. Older age and a higher body mass index were observed to be patient-related risk factors.*
- *Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. Br J Surg 99:315–323