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Category: Volume 06 Issue 03 March 2018
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Title: Predisposing Factors, Prevention and Treatment of Trocar site Hernia

Authors: Dr Satish Kumar, Dr O.K. Maurya

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.180

Abstract

Introduction

Laparoscopic cholecystectomy by two pioneer laparoscopic surgeons: Prof. Dr. Mederich Muhe of Germany in 1985 and Phillipe Mouret of France (Lyors – 1987) revolutionarised surgery and opened a new path for minimal access surgery. The improved postoperative comfort, reduced pain and shorter convalescence made minimal access surgery an instant hit in modern medicine and also among patients. Soon it became a procedure of choice and by 1990 it spread all over the world.

In the next 1 to 2 decades there was emergence of new technique, considerable improvement in instruments and also vast improvement in quality of surgeon’s training. All these resulted in great decline in dreaded complications like injury to great retroperitoneal vessels, intestinal injury and injury to bile duct. But there was emergence of new specific complications like trocar site hernia (port site hernia), trocar site infection and late appearance of biliary stenosis due to bile duct injury mostly from cautery.

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Corresponding Author

Dr O.K. Maurya

M.B.B.S.; M.S.(General Surgery); D.A.,

Associate Professor, Department of Surgery,

Nalanda Medical College & Hospital, Patna, Bihar, India