Trokar giriş yerinde insizyonel herni (TH) gelişimi tekniğe özgü bu komplikasyonlardan biridir (1, 2). Bu çalışmada kliniğimizde LK operasyonları takiben görülen TH gelişiminin güncel literatür eşliğinde irdelenmesi amaçlanmıştır. MATERYAL ve METOT Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi

Introduction: Trocar-site hernia (TH) development after laparoscopic cholecystectomy (LC) is a rare complication. In this study, we aimed to investigate the TH after LC in the light of current literature. Methods: Between January 2007 and June 2010, the records of the patients with TH in 515 patients performed LC analyzed retrospectively in terms of age, sex, location, size, performed previous operation and risk factors. Results: TH was determined in 3 (0.58%) patients among patients underwent LC. The average age was 49.67±5.77 and all of them were women. The 10-mm trocars entry site related to TH appeared at umbilical region for 2 patients and at epigastric region for patient. The average time from LC to TH formation was 18.33±10.97 months. The diameter of the hernia defects were 1.33±0.29 cm. The average of body mass index was 30.3 ± 3.1. During the LC, 2 cm in diameter gallstone in 1 patient and multiple gallstones smaller than 1 cm in the others were detected. Wound infection at the umbilical trocar region in one patient was detected after LC. Conclusion: Although the risk of TH after LC is rare, 10 mm or larger diameter trocar sites should be sutured especially in the patients including risk factors.