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

 

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References:

  1. Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia. 2010;15(2):113–121.
  2. 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.*
  3. *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