Postoperative bowel herniation in a 5-mm nonbladed trocar site

Incisional hernias are a rare complication of laparoscopic surgery, with a reported incidence of <1%. We describe a case of bowel herniation and strangulation involving a 5-mm trocar site. Although there is growing literature supporting fascial closure of abdominal port sizes ≥ 10 mm, there is sp...

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Vydané v:	Journal of the Society of Laparoendoscopic Surgeons Ročník 14; číslo 2; s. 289
Hlavní autori:	Huang, Marilyn, Musa, Fernanda, Castillo, Caroline, Holcomb, Kevin
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States 01.04.2010
Predmet:	Breast Neoplasms - surgery Carcinoma, Intraductal, Noninfiltrating - surgery Cystadenocarcinoma, Serous - surgery Fallopian Tube Neoplasms - surgery Fallopian Tubes - surgery Female Gynecologic Surgical Procedures - adverse effects Gynecologic Surgical Procedures - methods Hernia - etiology Humans Intestinal Diseases - etiology Intestine, Small - pathology Laparoscopy - adverse effects Middle Aged Necrosis Neoplasms, Second Primary - surgery Ovariectomy - methods Punctures
ISSN:	1086-8089
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Popis
Shrnutí:	Incisional hernias are a rare complication of laparoscopic surgery, with a reported incidence of <1%. We describe a case of bowel herniation and strangulation involving a 5-mm trocar site. Although there is growing literature supporting fascial closure of abdominal port sizes ≥ 10 mm, there is sparse data to suggest closure of 5-mm port sites. Our case illustrates that in appropriate clinical scenarios, the possibility of a strangulated hernia involving a 5-mm port site warrants consideration.
Bibliografia:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1086-8089
DOI:	10.4293/108680810X12785289144845