An incisional hernia may occur at a trocar site, especially if certain conditions are present.
Patient selection: status post laparoscopic incision
Issues in the detection of these hernias:
(1) limited post-operative surveillance (may take months or years to be recognized)
(2) may be asymptomatic
(3) use of ultrasonography at the sites
Risk factors for occurrence:
(1) age > 70 years (OR 3.5)
(2) body mass index (BMI) >= 30 kg per square meter (OR 3.3)
(3) larger trocar (diameter often >= 14 mm)
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Specialty: Gastroenterology
