Duke Jenny Marie, Pillay Yagan
Rural Family Medicine Resident (PGY2), University of Alberta, Box 22 Site 18 RR#1, Sundre, Alberta, T0M 1X0, Canada.
Department of General Surgery, University of Saskatchewan, Saskatchewan, S7N 0W8, Canada.
Int J Surg Case Rep. 2018;51:86-89. doi: 10.1016/j.ijscr.2018.07.043. Epub 2018 Aug 9.
Port site hernias (PSH) are a potential postoperative complication in laparoscopic surgery. It is difficult to estimate their true incidence given the descrepancy in published reports.
This is a case report of a 42-year-old lady who developed two separate PSH requiring a laparoscopic repair. This is also the first reported case of multiple PSH in a single patient in the English literature.
This report highlights the need for further research in establishing well defined incidence rates in order to properly discuss future surgical risks when consenting a patient for laparoscopic surgery. It is our belief that future research should be directed towards determining the risk associated with different trocar types, in the setting of various premorbid patient factors, to help surgeons decide on relevant instrument use and the most appropriate closure for port sites.
The growing incidence of PSH has brought about significant changes in the practice of laparoscopic surgery which behoves us as practicing clinicians to stay abreast of these changes so as to decrease the incidence of PSH.
切口疝是腹腔镜手术潜在的术后并发症。鉴于已发表报告中的差异，很难估计其真实发病率。
本文报告一例42岁女性患者，发生了两处独立的切口疝，需行腹腔镜修补术。这也是英文文献中首例关于单一患者发生多处切口疝的报道。
本报告强调，为在患者接受腹腔镜手术同意过程中恰当讨论未来手术风险，需要进一步开展研究以确定明确的发病率。我们认为，未来的研究应致力于确定在各种病前患者因素背景下，不同类型套管针相关的风险，以帮助外科医生决定相关器械的使用以及最合适的切口闭合方式。
切口疝发病率的不断上升给腹腔镜手术实践带来了重大变化，这要求我们临床医生紧跟这些变化，以降低切口疝的发病率。
