{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:56:48Z","timestamp":1746320208933,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Port site hernias (PSH) are underreported following laparoscopic ventral hernia repair (LVHR). Most occur at the site of laterally placed 10\u201312\u2010mm ports used to introduce large pieces of mesh. One alternative is to place the large port through the ventral hernia defect; however, there is potential for increased risk of surgical site infection (SSI). This study evaluates the outcomes when introducing mesh through a 10\u201312\u2010mm port placed through the hernia defect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective case series of patients who underwent LVHR in three prospective trials from 2014\u20132017 at one institution. All patients had mesh introduced through a 10\u201312\u2010mm port placed through the ventral hernia defect. The primary outcome was SSI. Secondary outcomes were hernia occurrences including recurrences and PSH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 315 eligible patients underwent LVHR with a median (range) follow\u2010up of 21 (11\u201341) months. Many patients were obese (66.9%), recently quit tobacco use (8.8%), or had diabetes (18.9%). Most patients had an incisional hernia (61.2%), and 19.2% were recurrent. Hernias were on average 4.8\u2009\u00b1\u20093.8\u00a0cm in width. Two patients (0.6%) had an SSI. Fourteen patients had a hernia occurrence\u201413 (4.4%) had a recurrent hernia, and one patient (0.3%) had a PSH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During LVHR, introduction of mesh through a 10\u201312\u2010mm port placed through the hernia defect is associated with a low risk of SSI and low risk of hernia occurrence. While further studies are needed to confirm these results, mesh can be safely introduced through a port through the defect.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05757-y","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T18:15:24Z","timestamp":1598984124000},"page":"4093-4097","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Port Site Hernias Following Laparoscopic Ventral Hernia Repair"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1345-9916","authenticated-orcid":false,"given":"Naila H.","family":"Dhanani","sequence":"first","affiliation":[{"name":"Department of Surgery Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth 5656 Kelley St 77026 Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla","family":"Bernardi","sequence":"additional","affiliation":[{"name":"Department of Surgery Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth 5656 Kelley St 77026 Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar A.","family":"Olavarria","sequence":"additional","affiliation":[{"name":"Department of Surgery Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth 5656 Kelley St 77026 Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Cherla","sequence":"additional","affiliation":[{"name":"Department of Surgery Lyndon B. 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Johnson General Hospital, McGovern Medical School at UTHealth 5656 Kelley St 77026 Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie L.","family":"Holihan","sequence":"additional","affiliation":[{"name":"Department of Surgery Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth 5656 Kelley St 77026 Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010006\u20109115\u20106"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000341"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010018\u20101864\u20103"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010003\u20100117\u20101"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.06.041"},{"key":"e_1_2_8_7_1","unstructured":"vonElmE AltmanDG EggerM PocockSJ GotzschePC VandenbrouckeJP.The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003466"},{"key":"e_1_2_8_9_1","unstructured":"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02365194."},{"key":"e_1_2_8_10_1","unstructured":"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02457364."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010016\u20105072\u2010x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010018\u20101748\u20106"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010008\u20100182\u20108"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010010\u20100757\u2010x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.139.11.1248"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1993.3.567"},{"issue":"2","key":"e_1_2_8_17_1","first-page":"206","article-title":"Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair","volume":"12","author":"Hussain A","year":"2008","journal-title":"J Soc Laparoendosc Surg"},{"issue":"4","key":"e_1_2_8_18_1","first-page":"900","article-title":"Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10\u2010mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique","volume":"23","author":"Agarwal BB","year":"2009","journal-title":"Surg Endosc Ultrasound Intervent Tech"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05757-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-020-05757-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05757-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-020-05757-y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T17:34:26Z","timestamp":1703352866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-020-05757-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1007\/s00268-020-05757-y"],"URL":"https:\/\/doi.org\/10.1007\/s00268-020-05757-y","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"type":"print","value":"0364-2313"},{"type":"electronic","value":"1432-2323"}],"subject":[],"published":{"date-parts":[[2020,9]]},"assertion":[{"value":"16 August 2020","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2020","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional Review Board approval was obtained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}