gms | German Medical Science

129. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

24.04. - 27.04.2012, Berlin

Wound complications in transumbilical single incision laparoscopy: 1127 consecutive cases

Meeting Abstract

  • Helmut Weiss - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Jan Schirnhofer - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Walter Brunner - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Matthias Biebl - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Katharina Pimpl - Krankenhaus der Barmherzigen Brüder, Allgemeinchirurgie, Salzburg
  • Christof Mittermair - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Christian Obrist - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Tobias Hell - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Robert Frass - KH der Barmherzigen Brüder, Chirurgie, Salzburg
  • Nicolas Waldstein - KH der Barmherzigen Brüder, Chirurgie, Salzburg

Deutsche Gesellschaft für Chirurgie. 129. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 24.-27.04.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgch375

DOI: 10.3205/12dgch375, URN: urn:nbn:de:0183-12dgch3756

Published: April 23, 2012

© 2012 Weiss et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: Transumbilical single incision laparoscopy (SIL) was developed to decrease the abdominal wall trauma and visible scars. Beside the possible benefits one concern is a potential high risk of wound complications. We analysed wound complications in the largest SIL cohort study.

Materials and methods: A total of 1220 patients underwent SIL at the SJOG Hospital Salzburg Austria (08-2008 to 09-2011). Clinical data were prospectively collected. Patients with a follow-up of 6-36 months were enrolled in this retrospective analysis. Incisional hernia or wound infection served as primary outcome parameters. Risk factors were calculated.

Results: Analysis comprised 1127 patients (601 f/526 m) Median age was 57 (7-93)a. 101 appendecomies, 383 cholecystectomies, 388 TAPP, 152 colorectal resections, 20 fundoplications, 3 adrenalectomies, 8 gastric resections, 10 intestinal resections, 17 liver resections, 5 pancreas resections and 40 other procedures were carried out. Preexisting umbilical fascial defects were found in 471 patients. Incidence for incisional hernia and wound infection yielded 1,4% and 1,1%, respectively. Risk factors were weight, BMI (p<0,05), learning curve (p<0,005), multiport use (p<0,001), skin incision length (p<0,05).

Conclusion: Transumbilical SIL allows both, advantageous cosmesis and an acceptable risk for wound complication.