{
  "abstract": "Introduction: Operating rooms generate 70% of hospital waste. Transitioning from disposable to reusable devices could mitigate surgical waste. Partially reusable, or hybrid, trocars can be used for minimally invasive surgery (MIS), but perceptions of increased infection risk may drive preferences toward disposable trocars. However, no data substantiates this risk. Our analysis of a national hernia outcomes database investigates this presumed association.\n\nMethods: Using the abdominal core health quality collaborative (ACHQC), we identified high-volume inguinal hernia surgeons who used only disposable trocars for laparoscopic inguinal hernia repair (IHR) and hybrid trocars for robotic IHR. These two surgical approaches served as surrogates to evaluate differences between disposable and hybrid trocars. We performed a query of the ACHQC to identify patients who underwent elective MIS IHR with mesh between 2017 and 2023 by one of the previously identified surgeons.\n\nResults: A total of 34,638 patients met inclusion criteria. After propensity score matching, there were 1191 patients in each group. There was no difference in rates of surgical site infection (SSI), surgical site occurrence requiring procedural intervention (SSOPI), readmission or reoperation between the two groups. There was a statistically significant higher rate of surgical site occurrence (SSO) in the disposable trocar group (5% vs. 2%, p = 0.003). This was driven by a significantly higher rate of hematomas (12% vs 38%, p = 0.007).\n\nConclusion: This study did not find an increased risk of SSI associated with hybrid trocars compared to disposable trocars for MIS inguinal hernia repairs. To decrease surgical waste, surgeons should consider the use of hybrid trocars for laparoscopic surgery.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery, Center for Abdominal Core Health, Cleveland Clinic Foundation, Cleveland, OH USA",
    "Case Western Reserve University School of Medicine, Cleveland, OH USA",
    "Center for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN USA",
    "Department of Surgical Sciences, University of Torino, Toriano, Italy",
    "Department of Gastroenterology, Radboud University Medical Centre, Nijmegen, Netherlands",
    "Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands",
    "Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC USA",
    "Department of Surgery, Sharon Regional Medical Center, Sharon, PA USA",
    "Colorectal Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK",
    "Division of Colon and Rectal Surgery, Mount Sinai Hospital, New York, NY USA",
    "Department of Surgery, Meharry Medical College, Nashville, TN USA",
    "Meharry School of Global Health, Meharry Medical College, Nashville, TN USA",
    "Division of Gastrointestinal Surgery, Department of Surgery, Northwestern Medicine, Chicago, IL USA",
    "Cleveland Clinic Lerner College of Medicine, Cleveland, OH USA"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 26,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kimberly P. Woo"
    },
    {
      "affs": [
        0
      ],
      "name": "Ali Alipouriani"
    },
    {
      "affs": [
        0
      ],
      "name": "Abby Gross"
    },
    {
      "affs": [
        0
      ],
      "name": "William C. Bennett"
    },
    {
      "affs": [
        0
      ],
      "name": "Jenny H. Chang"
    },
    {
      "affs": [
        0
      ],
      "name": "Alvaro Carvalho"
    },
    {
      "affs": [
        0
      ],
      "name": "Daphne Remulla"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Kayleigh Risser"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Nikhila Yerabandi"
    },
    {
      "affs": [
        2
      ],
      "name": "Li-Ching Huang"
    },
    {
      "affs": [
        3
      ],
      "name": "Alberto Arezzo"
    },
    {
      "affs": [
        4
      ],
      "name": "Vittoria Bellato"
    },
    {
      "affs": [
        5
      ],
      "name": "Myrthe M. Eussen"
    },
    {
      "affs": [
        6
      ],
      "name": "Maggie Hodges"
    },
    {
      "affs": [
        7
      ],
      "name": "Sheetal Nijhawan"
    },
    {
      "affs": [
        8
      ],
      "name": "Marina Yiasemidou"
    },
    {
      "affs": [
        0
      ],
      "name": "Kimberly S. Miles"
    },
    {
      "affs": [
        9
      ],
      "name": "Patricia Sylla"
    },
    {
      "affs": [
        10,
        11
      ],
      "name": "Shaneeta M. Johnson"
    },
    {
      "affs": [
        0
      ],
      "name": "Lucas R. Beffa"
    },
    {
      "affs": [
        0
      ],
      "name": "Clayton C. Petro"
    },
    {
      "affs": [
        0
      ],
      "name": "Ajita S. Prabhu"
    },
    {
      "affs": [
        0
      ],
      "name": "David M. Krpata"
    },
    {
      "affs": [
        0,
        12
      ],
      "name": "Michael J. Rosen"
    },
    {
      "affs": [
        0,
        13
      ],
      "name": "Benjamin T. Miller",
      "orcid": "0000-0002-2745-7794"
    },
    {
      "name": "SAGES, EAES Sustainability in Surgery Committee"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9t20v7663d1f5.bib",
  "cited_by": 0,
  "doi": "10.1007/s00464-026-13408-x",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13755010/",
  "id": "9t20v7663d1f5",
  "issns": [
    "0930-2794",
    "1432-2218"
  ],
  "landing_url": "https://doi.org/10.1007/s00464-026-13408-x",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "SAGES/EAES official publication"
    ],
    [
      "openalex",
      "2746|Hernia repair and management"
    ]
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  "openalex": "W7220680722",
  "pdf_url": "https://link.springer.com/content/pdf/10.1007/s00464-026-13408-x.pdf",
  "pmcid": "PMC13755010",
  "pmid": "42836990",
  "published": "2026-10-06",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/9t20v7663d1f5.ris",
  "sources": [
    {
      "first_seen": "2026-11-15T12:23:54Z",
      "native_id": "PMC13755010",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s00464-026-13408-x"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hernia repair and management",
      "subfield": "surgery"
    }
  ],
  "title": "Access without excess: a comparison of wound infections with disposable versus hybrid trocars in minimally invasive inguinal hernia repairs",
  "title_text": "Access without excess: a comparison of wound infections with disposable versus hybrid trocars in minimally invasive inguinal hernia repairs",
  "type": "peer-reviewed",
  "updated_at": "2026-11-15T12:23:54Z",
  "url": "https://research.draconitic.com/paper/9t20v7663d1f5",
  "venue": "Surgical Endoscopy",
  "versions": []
}