Scientific Publications on Trocar Wound Closure in Obese and Bariatric Patients

Herniation into the trocar site is a relatively common and potentially dangerous complication of laparoscopic surgery with a reported incidence of .23 % to 3.1% in the general population.¹ The incidence is higher in obese patients.^2,3

Bariatric patients are especially at risk of developing incisional hernias, because of the thick, fatty preperitoneal space and elevated intra-abdominal pressure. Hand suturing is especially difficult in this patient group. Despite fascial reapproximation, a Richter hernia can still develop.⁴

Prevent port-site herniation in obese and bariatric patients by closing all trocar wounds with the Carter-Thomason CloseSure System XL™.

The following is a list of scientific publications on herniation in obese and bariatric patients. You can access the abstract by clicking on the title.

Cottam DR, Gorecki PJ, Curvelo M, et al.
Preperitoneal herniation into a laparoscopic port site without a fascial defect. Obes Surg 2002;12: 121-123.

Matthews BD, Heniford BT, Sing RF.
Preperitoneal Richter hernia after a laparoscopic gastric bypass. Surg Laparosc Percutan Tech 2001;11:47-49.

References

1. Kadar N, Reich H, Liu CY, et al.
   Incision hernia after major laparoscopic gynecological procedures. Am J Obstet Gynecol 1993;168:1493-1495.
   
   
2. Susmallian S, Ezri T, Charuzi I.
   Laparoscopic repair of access port site hernia after Lap-Band^® system implantation. Obes Surg 2002;12:682-694.
   
   
3. Bonatti H, Hoeller E, Kirchmayr W, et al.
   Ventral hernia repair in bariatric surgery. Obes Surg 2004:14:655-658.
   
   
4. Matthews BD, Heniford BT, Sing RF.
   Preperitoneal Richter hernia after a laparoscopic gastric bypass. Surg Laparosc Percutan Tech 2001;11:47-49.