Effect of fascial closure on development of incisional hernia in 10 mm umbilical trocar sites after laparoscopic surgeries

laparoscopy is a novel surgical method and has became the gold standard of treatment in some diseases. Development of hernia in laparoscopic port sites is a major complication. repairing port sites has always been of concern because of their small sizes which may lead to intestinal, omentum and intra-abdominal organs damage. This study aims to investigate the effects of fascial closure on development of incisional hernia in 10 mm trochars sites. 170 candidates of laparoscopy surgery that were referred to Loghman Hakim hospital were randomly allocated in two groups: 1) fascial closure performed in 10 mm trochars sites 2) fascial closure not performed in 10 mm trocar sites. Patients followed at 3, 6 and 12 months after surgery. signs and symptoms of incisional hernia Were closely controlled and sonographic evaluation performed in suspected cases. Data were analyzed using SPSS version 16; t-test and chi2 for quantitative and qualitative variables, respectively. 10 patients where lost to follow-up. patients were matched for age,sex,BMI, existence of Diabetes mellitus and anemia. incidence of incisional hernia in group one and two were 2.5% VS 1.25%. this difference was not statistically significant. it is highly probable that closure and non-closure of facia does not affect the incidence of incisional hernia in 10mm trocar sites.