scholarly journals Trocar Site Hernia after Laparoscopic Colectomy: A Case Report and Literature Review

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Delmonaco Pamela ◽  
Cirocchi Roberto ◽  
La Mura Francesco ◽  
Morelli Umberto ◽  
Migliaccio Carla ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Late Onset ◽  
Intestinal Loop ◽  
Operative Laparoscopy ◽  
Trocar Site ◽  
Onset Type ◽  
Clinical Onset ◽  
Trocar Site Hernia ◽  
Laparoscopic Vision

Background. Trocar Site Hernia (TSH) is defined as an incisional hernia which occurs after minimally invasive surgery on the trocar incision site.In 2004 Tonouchi classified trocar site hernias into 3 types: Early onset type; Late onset type; Special type. Case Report. We report the case of a 76-year old woman that underwent an emergency explorative laparotomy on the 10th p.o. day after a laparoscopic left hemicolectomy. Surgery showed a small bowel herniation through the 12 mm trocar incision site; the intestinal loop appeared necrotic and had to be resected, and the hernia orifice was repaired. We carried out a review of literature about this topic. Discussion. The clinical onset of a trocar site hernia is usually early, occurring within the 30th post operative day and it is caused by the omentum or small bowel entrapment into the trocar orifice. The clinical presentation is insidious, with progression to an acute abdomen, and an emergency surgical approach is often required. Conclusions. TSH is a severe complication of operative laparoscopy especially with large-bore trocar ports. The incidence of TSH resulting from our review ranges from 0.007% to 22% with an average of 1.85%. Prevention of TSH appears to be more effective when trocar insertion through the abdominal wall is tangential, the closure of both the fascia and the peritoneum is performed if the incision is greater than 7 mm, the suture of extra umbilical port site is performed under laparoscopic vision.

scholarly journals SMALL BOWEL OBSTRUCTION IN TROCAR SITE HERNIA. CASE REPORT AND LITERATURE REVIEW

2019 ◽  
Vol 25 (3) ◽  
pp. 2667-2670
Author(s):  
Vasil Bozhkov ◽  
◽  
Plamen Chernopolsky ◽  
Rossen Madjov ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Trocar Site ◽  
Trocar Site Hernia

scholarly journals Special type trocar-site hernia with evisceration of the appendix following laparoscopic repair of a perforated duodenal ulcer

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Jim Byrne ◽  
John D Kehoe ◽  
Mohammed Yasser Kayyal
Keyword(s):  
Duodenal Ulcer ◽  
Laparoscopic Repair ◽  
Late Onset ◽  
Fascial Closure ◽  
Perforated Duodenal Ulcer ◽  
Trocar Site ◽  
Hernia Sac ◽  
Trocar Site Hernia ◽  
Trocar Placement ◽  
Increased Risk

Abstract Trocar-site hernia is an uncommon complication of laparoscopic surgery and can be classified as early-onset, late-onset or special type. Special type hernias usually occur in the early postoperative period and result in evisceration of intra-abdominal contents through all layers of the abdominal wall without an overlying hernia sac. We present a case of special type herniation of the appendix through a 5-mm trocar site in the right iliac fossa following laparoscopic repair of a perforated duodenal ulcer. In this case, herniation occurred after removal of a drain inserted through the trocar site intraoperatively and was treated with emergent open appendicectomy. A number of patient and technical factors may be associated with an increased risk of trocar-site herniation including increasing age, elevated body mass index, increasing trocar size, longer procedure duration and absence of fascial closure. These factors must be borne in mind when planning trocar placement and number to reduce the risk of herniation.

Late onset type of propionic acidaemia: Case report and biochemical studies

1981 ◽  
Vol 4 (1) ◽  
pp. 71-72 ◽  
Author(s):  
B. Merinero ◽  
J. A. DelValle ◽  
A. Jiménez ◽  
M. J. Garcia ◽  
M. Ugarte ◽  
...  
Keyword(s):  
Case Report ◽  
Late Onset ◽  
Propionic Acidaemia ◽  
Onset Type ◽  
Biochemical Studies

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 Multiple neuroendocrine tumors of the small bowel: a case report

2020 ◽  
Vol 2 (1) ◽  
pp. 22-23
Author(s):  
Selene Rossi ◽  
Federico Farinacci ◽  
Alessandro Gemini ◽  
Felice Mucilli
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Liver Metastases ◽  
Neuroendocrine Tumors ◽  
Emergency Surgery ◽  
Intestinal Bleeding ◽  
Intestinal Loop ◽  
Rare Presentation ◽  
Preoperative Ct ◽  
Positive Lymph Nodes

Neuroendocrine tumors of the small bowel are rare malignancies that often occur in the case of bowel obstruction or intestinal bleeding. The present case is a 46-year-old man who underwent emergency surgery for obstruction due to a rare presentation of multiple neuroendocrine lesions located in an intestinal loop. Pathology showed 15 NETs (grade 1) between 4 and 15 mm diameter with positive lymph nodes and liver metastases already detected by the preoperative CT scan.

scholarly journals Five-Millimetre Trocar Site Herniation as a Late Complication After Six Years Following Laparoscopic Appendectomy in Nine-year-old Boy

2019 ◽  
pp. 1-2
Author(s):  
Hasan Ozkan Gezer ◽  
Semire Serin Ezer
Keyword(s):  
Case Report ◽  
Incisional Hernia ◽  
Laparoscopic Appendectomy ◽  
Late Complication ◽  
Minimal Invasive ◽  
Adult Patients ◽  
Review Of The Literature ◽  
Trocar Site ◽  
Trocar Site Hernia ◽  
Omental Herniation

Trocar site hernia (TSH) is a type of incisional hernia occurring at the trocar sites after minimal invasive surgeries, most often in adult patients with non-sutured trocar sites. This is a case report of a 5 mm trocar site omental herniation six years after laparoscopic appendectomy in a nine-year-old boy to emphasize that incisions should be closed using fascial and cutaneous sutures, regardless of trocar size and localization, to prevent TSH. We conducted a brief review of the literature on this topic.

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.

Trocar-site hernia at the 8-mm robotic port after robot-assisted laparoscopic prostatectomy: a case report and review of the literature

2013 ◽  
Vol 8 (1) ◽  
pp. 89-91 ◽  
Author(s):  
James Hok-Leung Tsu ◽  
Ada Tsui-Lin Ng ◽  
Jason Ka-Wing Wong ◽  
Edmond Ming-Ho Wong ◽  
Kwan-Lun Ho ◽  
...  
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Robot Assisted ◽  
Trocar Site ◽  
Laparoscopic Prostatectomy ◽  
Trocar Site Hernia
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