Incidence, risks & costs

Port Site Herniation is a specific complication of laparoscopic surgery which is often underestimated.2


Up to 5.2%
 of patients undergoing laparoscopic surgery will experience a port-site hernia.4


A clinical study of patients showed that these rates can be as high as 25.9% three years post procedure.5

Port site herniation is costly

For example, in the United States alone, there are:

~64,000 procedures to repair port‑site hernias each year,6 which cost…

~$7,000 per additional surgery to address the herniation.7 That may add a burden of up to…

~$446M on the U.S. healthcare system.8

Port site herniation: An increasingly frequent complication, yet preventable

Minimally Invasive Surgery (MIS) using laparoscopic or catheter-based techniques has become an increasingly common alternative to traditional open surgery.9,10


With a higher number of MIS procedures, the incidence of port site herniation is only expected to rise11


The recommendation is to close all defects larger than 10mm.12

Risk factors for port-site hernias include:4
  • Inconsistent closures
  • Larger sized trocars (10 mm and greater)
  • Long procedures
  • Trocar location
  • Age
  • High BMI

Reducing risks

All fascial defects larger than 10 mm should be closed to prevent port site herniation4

 

5 mm fascia capture on either side of the trocar has been shown to reduce the potential risk for herniation3

 

Special attention to fascial closure techniques (hand suturing, suture passers and wound closure devices) is important as results can be inconsistent13,14

Our solution to port site closure challenges

Consistent 5 mm bite

In abdominal wound closure, small 5 mm bites have been shown to reduce incisional hernias.13–16,†

The VersaOne™ fascial closure device system is an all-in-one3 system designed for consistent port site closure. It allows surgeons to close fascia 5 mm on either side of trocar wound.11

The VersaOne™ fascial closure system maintains the pneumoperitoneum within the abdominal cavity by eliminating the need to remove a trocar before closure begins, delivering:

  • Added procedural efficiency3,†
  • Ease of use3