INCISIONAL HERNIA AFTER BARIATRIC SURGERY : ONLY THE PHYSICAL EXAMINATION IS ENOUGH?
BACKGROUND: Incisional hernia is characterized by a bulging of the abdominal wall caused by the prolapse of intracavitary structures, such as a segment of the small intestine, through the trocar orifice. Ultrasonography and physical examination are used in the diagnosis of incisional hernia.
AIMS: This study aimed to evaluate the difference between physical examination and abdominal ultrasonography at the diagnosis of incisional hernia in patients who underwent laparoscopic bariatric surgery.
METHODS: A total of 123 patients who underwent Roux-en-Y gastric bypass type bariatric surgery performed by laparoscopy were analyzed for the presence or absence of hernia by physical and ultrasonography examination at each trocar incision site.
RESULTS: In our results, a total of 7 hernias were detected by physical examination, while ultrasonography detected a total of 56 hernias in at least one of the incision sites. Lin's concordance analysis showed that the tests are not concordant. The association between body mass index and hernia detection (p=0.04 for physical examination and p=0.052 for ultrasonography) was observed. Ultrasonography detected more incisional hernias in 10-mm or larger trocars than in 5-mm trocars (p<0.0001, p<0.05). No differences were noted among the trocar types that were used.
CONCLUSIONS: Abdominal ultrasonography showed to have a higher accuracy than physical examination, resulting in a substantial increase in incisional hernia detection at the trocar sites.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery - 35(2022) vom: 01., Seite e1673 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rossi, Felipe Martin Bianco [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 15.09.2022 Date Revised 24.09.2022 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
10.1590/0102-672020220002e1673 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM346193044 |
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| 100 | 1 | |a Rossi, Felipe Martin Bianco |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a INCISIONAL HERNIA AFTER BARIATRIC SURGERY |b ONLY THE PHYSICAL EXAMINATION IS ENOUGH? |
| 264 | 1 | |c 2022 | |
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| 500 | |a Date Completed 15.09.2022 | ||
| 500 | |a Date Revised 24.09.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Incisional hernia is characterized by a bulging of the abdominal wall caused by the prolapse of intracavitary structures, such as a segment of the small intestine, through the trocar orifice. Ultrasonography and physical examination are used in the diagnosis of incisional hernia | ||
| 520 | |a AIMS: This study aimed to evaluate the difference between physical examination and abdominal ultrasonography at the diagnosis of incisional hernia in patients who underwent laparoscopic bariatric surgery | ||
| 520 | |a METHODS: A total of 123 patients who underwent Roux-en-Y gastric bypass type bariatric surgery performed by laparoscopy were analyzed for the presence or absence of hernia by physical and ultrasonography examination at each trocar incision site | ||
| 520 | |a RESULTS: In our results, a total of 7 hernias were detected by physical examination, while ultrasonography detected a total of 56 hernias in at least one of the incision sites. Lin's concordance analysis showed that the tests are not concordant. The association between body mass index and hernia detection (p=0.04 for physical examination and p=0.052 for ultrasonography) was observed. Ultrasonography detected more incisional hernias in 10-mm or larger trocars than in 5-mm trocars (p<0.0001, p<0.05). No differences were noted among the trocar types that were used | ||
| 520 | |a CONCLUSIONS: Abdominal ultrasonography showed to have a higher accuracy than physical examination, resulting in a substantial increase in incisional hernia detection at the trocar sites | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Moreno, Ricardo |e verfasserin |4 aut | |
| 700 | 1 | |a Druziani, Amarilys Luiza |e verfasserin |4 aut | |
| 700 | 1 | |a Perez, Matheus Moreira |e verfasserin |4 aut | |
| 700 | 1 | |a Possari, Eduardo |e verfasserin |4 aut | |
| 700 | 1 | |a Ferreira Da-Silva, Renato Barretto |e verfasserin |4 aut | |
| 700 | 1 | |a Rossi, Marçal |e verfasserin |4 aut | |
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