Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, South Korea.
Department of Obstetrics and Gynecology, Konyang University Hospital, Konyang University School of Medicine, Taejon, South Korea.
Sci Rep. 2020 Oct 15;10(1):17388. doi: 10.1038/s41598-020-74471-5.
The present study was conducted to report the perioperative outcomes of single-port access (SPA) laparoscopic gynecologic surgeries with focus on the incidence of postoperative incisional hernia from our cumulative data of 2498 patients. A retrospective review was performed on the women who had received SPA surgeries from 2008 to 2018. Patient characteristics and perioperative outcomes including the incidence of postoperative incisional hernia were analyzed. There were 2498 Korean patients who received SPA surgeries for various gynecologic diseases. The median age of the patients was 40.3 ± 9.2 years, and the mean body mass index (BMI) was 22.6 ± 3.2 kg/m. A total of 3 postoperative incisional hernia occurred during the study period. Two patients whose fascial layers were closed in running sutures developed hernias 6 and 8 months after their operations. One patient whose fascial layers were closed in interrupted sutures developed hernia 11 months after her operation. The incidence of postoperative incisional hernia following SPA surgery is low in Asian women whose BMI is relatively lower than other patient populations. Interrupted suture technique may reduce postoperative incisional hernia by providing a distinct visualization of fascial layers during closure. Detailed descriptions of our surgical techniques of closing the port incision are provided.
本研究旨在报告单孔腹腔镜妇科手术的围手术期结果，并重点从我们 2498 例患者的累积数据中报告术后切口疝的发生率。对 2008 年至 2018 年间接受单孔腹腔镜手术的女性进行了回顾性分析。分析了患者特征和围手术期结果，包括术后切口疝的发生率。有 2498 名韩国患者因各种妇科疾病接受了单孔腹腔镜手术。患者的中位年龄为 40.3±9.2 岁，平均体重指数（BMI）为 22.6±3.2kg/m。研究期间共发生 3 例术后切口疝。2 例筋膜层采用连续缝合关闭的患者分别在术后 6 个月和 8 个月发生疝，1 例筋膜层采用间断缝合关闭的患者在术后 11 个月发生疝。对于 BMI 相对低于其他患者人群的亚洲女性，单孔腹腔镜手术后切口疝的发生率较低。间断缝合技术可通过在关闭时清晰显示筋膜层来减少术后切口疝的发生。提供了我们关闭端口切口的手术技术的详细描述。
