scholarly journals Incarcerated Trocar Site Herniation of the Small Bowel following Laparoscopic Myomectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
William Kondo ◽  
Monica Tessmann Zomer ◽  
Andresa Braga-Baiak ◽  
Rafael Menezes de Azevedo
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Laparoscopic Approach ◽  
Laparoscopic Myomectomy ◽  
Fascial Defect ◽  
Trocar Site ◽  
Major Complications ◽  
Bowel Herniation

Small bowel herniation through the fascial defect created by the entry of trocars is one of the major complications of the laparoscopic surgery. In this paper, we describe a 42-year-old woman developing an incarcerated trocar site herniation of the small bowel following laparoscopic myomectomy and treated by laparoscopic approach.

A 5-mm Trocar Site Small Bowel Herniation After Laparoscopic Myomectomy

2019 ◽  
Vol 26 (4) ◽  
pp. 587-588
Author(s):  
P.G. Paul ◽  
Satheesh Iype ◽  
Santwan Mehta ◽  
R. Geetha ◽  
Sumeetkaur Mehta ◽  
...  
Keyword(s):  
Small Bowel ◽  
Laparoscopic Myomectomy ◽  
Trocar Site ◽  
Bowel Herniation

scholarly journals 5-Millimeter Trocar-Site Bowel Herniation Following Laparoscopic Surgery

2012 ◽  
Vol 16 (2) ◽  
pp. 306-310 ◽  
Author(s):  
Nauman Khurshid ◽  
Maurice Chung ◽  
Terrence Horrigan ◽  
Kelly Manahan ◽  
John P. Geisler
Keyword(s):  
Laparoscopic Surgery ◽  
Trocar Site ◽  
Bowel Herniation

scholarly journals Trocar-site hernia following laparoscopic salpingo-oophorectomy in a middle-aged Japanese woman: an initial case report after 40 years of experience at a single center and a brief literature review

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Kuniaki Ota ◽  
Yukiko Katagiri ◽  
Masafumi Katakura ◽  
Takafumi Mukai ◽  
Kentaro Nakaoka ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Emergency Surgery ◽  
Japanese Woman ◽  
Port Site ◽  
Bowel Loop ◽  
Trocar Site ◽  
Invasive Approach ◽  
Trocar Site Hernia ◽  
Less Invasive Approach

Abstract Background In gynecology, the number of laparoscopic surgeries performed has increased annually because laparoscopic surgery presents a greater number of advantages from a cosmetic perspective and allows for a less invasive approach than laparotomy. Trocar site hernia (TSH) is a unique complication that causes severe small bowel obstruction and requires emergency surgery. Its use has mainly been reported with respect to gastrointestinal laparoscopy, such as for cholecystectomy. Contrastingly, there have been few reports on gynecologic laparoscopy because common laparoscopic surgeries, such as laparoscopic salpingo-oophorectomy, are considered low risk due to shorter operative times. In this study, we report on a case of a woman who developed a TSH 5 days postoperatively following a minimally invasive laparoscopic surgery that was completed in 34 min. Case presentation A 41-year-old woman who had undergone laparoscopic salpingo-oophorectomy 5 days previously presented with the following features of intestinal obstruction: persistent abdominal pain, vomiting, and inability to pass stool or flatus. A computed tomography scan of her abdomen demonstrated a collapsed small bowel loop that was protruding through the lateral 12-mm port. Emergency surgery confirmed the diagnosis of TSH. The herniated bowel loop was gently replaced onto the pelvic floor and the patient did not require bowel resection. After the surgical procedure, the fascial defect at the lateral port site was closed using 2-0 Vicryl sutures. On the tenth postoperative day, the patient was discharged with no symptom recurrence. Conclusions The TSH initially presented following laparoscopic salpingo-oophorectomy; however, the patient did not have common risk factors such as obesity, older age, wound infection, diabetes, and prolonged operative time. There was a possibility that the TSH was caused by excessive manipulation during the tissue removal through the lateral 12-mm port. Thereafter, the peritoneum around the lateral 12-mm port was closed to prevent the hernia, although a consensus around the approach to closure of the port site fascia had not yet been reached. This case demonstrated that significant attention should be paid to the possibility of patients developing TSH. This will ensure the prevention of severe problems through early detection and treatment.

Five-Millimeter Trocar Site Small Bowel Eviscerations after Gynecologic Laparoscopic Surgery

2009 ◽  
Vol 16 (5) ◽  
pp. 643-645 ◽  
Author(s):  
Grégoire Moreaux ◽  
Sonia Estrade-Huchon ◽  
Georges Bader ◽  
Bernard Guyot ◽  
Denis Heitz ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Trocar Site

scholarly journals An Unusual Trocar Site Hernia after Prostatectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Ryan K. Schmocker ◽  
Jacob A. Greenberg
Keyword(s):  
Laparoscopic Surgery ◽  
Primary Repair ◽  
Laparoscopic Approach ◽  
Vermiform Appendix ◽  
Robotic Prostatectomy ◽  
Trocar Site ◽  
Lower Quadrant ◽  
Trocar Site Hernia ◽  
Right Lower Quadrant

Trocar site hernias are rare complications after laparoscopic surgery but most commonly occur at larger trocar sites placed at the umbilicus. With increased utilization of the laparoscopic approach the incidence of trocar site hernia is increasing. We report a case of a trocar site hernia following an otherwise uncomplicated robotic prostatectomy at a 12 mm right lower quadrant port. The vermiform appendix was incarcerated within the trocar site hernia. Subsequent appendectomy and primary repair of the hernia were performed without complication.

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