Small Bowel Herniation through Subumbilical Port Site following Laparoscopic Surgery at the Time of Reversal of Anesthesia

2000 ◽  
Vol 49 (3) ◽  
pp. 209-210 ◽  
Author(s):  
Tak Yeung Leung ◽  
Pong Mo Yuen
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Port Site ◽  
Bowel Herniation

Herniation of the Small Bowel through the Port Site following Removal of Drains during Laparoscopic Surgery

2000 ◽  
Vol 17 (5) ◽  
pp. 544-546 ◽  
Author(s):  
Ko Komuta ◽  
Masashi Haraguchi ◽  
Keiji Inoue ◽  
Junichiro Furui ◽  
Takashi Kanematsu
Keyword(s):  
Laparoscopic Surgery ◽  
Small Bowel ◽  
Port Site

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 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.

scholarly journals Recurrence hernia in the broad ligament of the uterus: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yoshifumi Hashimoto ◽  
Tatsuo Kanda ◽  
Tadasu Chida ◽  
Kazuyoshi Suda
Keyword(s):  
Small Bowel ◽  
Rare Disease ◽  
Broad Ligament ◽  
Significant Risk ◽  
Disease Recurrence ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Bowel Segments ◽  
Hernia Orifice ◽  
Bowel Herniation

Abstract Background Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. Case presentation A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. Conclusions Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH.

C14 Incidence of local and port site recurrence after laparoscopic surgery for renal cell carcinoma

2013 ◽  
Vol 12 (4) ◽  
pp. e1122, C14
Author(s):  
D. Rojo García ◽  
A. Prera ◽  
C. Abad ◽  
J. Muñoz ◽  
R. Martos ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Laparoscopic Surgery ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Port Site ◽  
Port Site Recurrence

scholarly journals 5 mm port site hernia causing small bowel obstruction

2008 ◽  
Vol 7 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Ankur Thapar ◽  
Babak Kianifard ◽  
Richard Pyper ◽  
William Woods
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Port Site ◽  
Port Site Hernia
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