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.

Long-Term Surgical Outcome of Trocar Site Hernia Repair

2017 ◽  
Vol 83 (2) ◽  
pp. 176-182
Author(s):  
Yoon-Hye Kwon ◽  
Eun Kyung Choe ◽  
Seung-Bum Ryoo ◽  
Jeong-Ki Kim ◽  
Kyu Joo Park
Keyword(s):  
Laparoscopic Surgery ◽  
Recurrence Rate ◽  
Late Onset ◽  
The Body ◽  
Port Site ◽  
Trocar Site ◽  
Mesh Reinforcement ◽  
Trocar Site Hernia ◽  
Onset Group

Port site hernias are emerging as a problematic complication of laparoscopic surgery. The aim of this study was to elucidate the characteristics of port site hernias and determine the long-term outcomes based on the interval between primary surgery and hernia occurrence. Twenty-four patients were surgically treated for trocar site hernia between 1997 and 2013. The patients were grouped into early-onset group (EOG; less than one month) and late-onset group (LOG; more than one month) based on the interval between laparoscopic surgery and hernia onset. A retrospective analysis was performed. There were seven patients in the EOG and 17 patients in the LOG. The body mass index was significantly higher (P = 0.033) in the LOG. In the EOG, primary closure was performed, and there were no recurrences. In the LOG, mesh reinforcement was applied in 58.8 per cent of patients, and 29.4 per cent of patients had recurrences. This recurrence rate was higher than the recurrence rate after primary repair of incisional hernia after open laparotomy (P = 0.088). In conclusion, In the EOG, small bowel resection was more frequent, but once repaired, there were no recurrences. Although mesh reinforcement was applied in the LOG, the recurrence rate was not less than the EOG.

scholarly journals Cryptosporidium infection in a case of appendicitis

2019 ◽  
Vol 12 (8) ◽  
pp. e230419
Author(s):  
Haley Franklin ◽  
Katherine Glosemeyer ◽  
Ali Hassoun
Keyword(s):  
Emergency Department ◽  
Cryptosporidium Parvum ◽  
Vermiform Appendix ◽  
Caucasian Woman ◽  
Cryptosporidium Infection ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
The Right ◽  
Inflammatory Changes ◽  
Right Lower Quadrant

A 39-year-old Caucasian woman presented to the emergency department with worsening abdominal pain, localised to the right lower quadrant, and diarrhoea for a week. Stool tested negative for Clostridium difficile, Giardialamblia and Cryptosporidium. Following an abdominal CT, she was diagnosed with appendicitis. The histological preparation, along with the acute inflammatory changes of the vermiform appendix, was notable for clusters of small, basophilic spherical bodies most consistent with Cryptosporidium parvum infection. Ultimately, the patient was diagnosed with appendicitis secondary to C. parvum infection. This is exceedingly rare and only one other case has been previously reported.

Low risk of trocar site hernia repair 12 years after primary laparoscopic surgery

2011 ◽  
Vol 25 (11) ◽  
pp. 3678-3682 ◽  
Author(s):  
Frederik Helgstrand ◽  
Jacob Rosenberg ◽  
Henrik Kehlet ◽  
Thue Bisgaard
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Low Risk ◽  
Trocar Site ◽  
Trocar Site Hernia

scholarly journals No Need of Fascia Closure to Reduce Trocar Site Hernia Rate in Laparoscopic Surgery: A Prospective Study of 200 Non-Obese Patients

2016 ◽  
Vol 9 (4-5) ◽  
pp. 70-73 ◽  
Author(s):  
Rikki Singal ◽  
Muzzafar Zaman ◽  
Amit Mittal ◽  
Samita Singal ◽  
Karamjot Sandhu ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Prospective Study ◽  
Obese Patients ◽  
Trocar Site ◽  
Trocar Site Hernia ◽  
A Prospective Study ◽  
Fascia Closure

scholarly journals Torsion of cecal appendix. Report of the first Italian case and review of the literature

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Salvatore Fabio Chiarenza ◽  
Lorenzo Costa ◽  
Cosimo Bleve
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Lower Quadrant ◽  
Italian Case ◽  
Right Lower Quadrant

In pediatric patients appendicitis is the most common cause of abdominal pain and surgery. Torsion of vermiform appendix is a rare cause, clinically indistinguishable from appendicitis with usually an intraoperative diagnosis. The first description of vermiform appendix torsion was made by Payne in 1918. Clinical presentation is similar to acute appendicitis. Preoperative investigations play a minimal role. Etiology of this condition is unclear, but is possible to distinguish a primary and a secondary torsion. We report a case of 5-years-old boy who presented with right lower quadrant abdominal pain. His clinical signs, symptoms and investigations mimicked an acute appendicitis. Intraoperatively we found a 720° appendix torsion on its base with its mesentery rotated in counter-clockwise direction. The appendix was gangrenous in appearance. A video-assisted trans-umbilical appendectomy was performed. We describe clinical presentation and management of this rare condition reviewing the literature.

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.

scholarly journals Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Markus Gass ◽  
Anatol Zynamon ◽  
Markus von Flüe ◽  
Ralph Peterli
Keyword(s):  
Abdominal Wall Defect ◽  
Vermiform Appendix ◽  
Lower Quadrant Pain ◽  
Direct Closure ◽  
Lower Quadrant ◽  
Wall Defect ◽  
Right Lower Quadrant Pain ◽  
The Right ◽  
Right Lower Quadrant ◽  
Hernia Orifice

The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.

scholarly journals Acute appendicitis within a robotic port-site hernia: a case report

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Tong Qu ◽  
Ruojia Li ◽  
Anai N Kothari ◽  
Michael J Anstadt
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Review Of The Literature ◽  
Robot Assisted ◽  
Trocar Site ◽  
Lower Quadrant ◽  
Major Morbidity ◽  
Port Site Hernia ◽  
Optimal Approach ◽  
Trocar Site Closure ◽  
Right Lower Quadrant

Abstract Trocar-site hernias are uncommon complications of minimally invasive surgery. The potential for incarceration or strangulation of intra-abdominal contents within trocar-site hernias can lead to major morbidity. We present a case of acute, strangulated appendicitis within a right lower quadrant 8 mm robotic trocar site following robot-assisted laparoscopic cholecystectomy. We additionally perform a brief review of the literature regarding the optimal approach to trocar-site closure.

scholarly journals Duplication of the vermiform appendix in an adult patient

2014 ◽  
Vol 96 (5) ◽  
pp. e16-e17 ◽  
Author(s):  
KH Lim
Keyword(s):  
Wedge Resection ◽  
Vermiform Appendix ◽  
Clinical Impression ◽  
True Lumen ◽  
Lower Quadrant ◽  
Laparoscopic Wedge Resection ◽  
Cystic Changes ◽  
History Of ◽  
Operative Findings ◽  
Right Lower Quadrant

Duplication of the appendix is extremely rare. A 69-year-old woman was admitted with a 2-day history of right lower quadrant abdominal pain. Physical examination was consistent with acute appendicitis. Ultrasonography and colonoscopy gave a clinical impression of an inflammatory appendiceal mucocoele. Operative findings were an enlarged and inflamed appendix with distal cystic changes. Laparoscopic wedge resection of the caecum was performed. A tubular structure with a true lumen was found in the appendix. Haematoxylin and eosin staining and trichrome staining showed both structures had a true mucosa and a muscular layer. The duplication in this case does not belong to any of the previously described types of duplication.

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