INCIDENCE OF 10MM UMBIICAL TROCAR SITE HERNIA FOLLOWING LAPAROSCOPIC SURGERIES

Abstract

Trocar site hernia (TSH) is a recognized but relatively rare complication following laparoscopic surgeries. It refers to the protrusion of intra-abdominal contents through a fascial defect at the site of trocar insertion. The incidence of this complication varies based on several factors, including the size of the trocar, the surgical technique employed, and the patient’s individual risk factors. Among trocar sizes, the 10-mm umbilical trocar site is particularly noteworthy due to its higher predisposition to hernia formation compared to smaller trocar sites.The umbilical site is frequently utilized in laparoscopic procedures due to its central location, ease of access, and reduced cosmetic impact. However, the inherent anatomical weakness of the umbilical region, coupled with the larger fascial defect created by 10-mm trocars, may increase the risk of postoperative herniation. This issue is clinically significant as it can lead to complications such as bowel incarceration, obstruction, or strangulation, which necessitate prompt surgical intervention.