Incarcerated trocar-wound hernia after laparoscopic hysterectomy. Is closure of large trocar fascia defects after laparoscopy necessary?
An incarcerated hernia through a 12-mm laparoscopic trocar wound, causing small bowel subobstruction, was diagnosed in a 50-year-old female patient following a laparoscopic hysterectomy 1 month earlier. Trocar-wound hernias causing early postoperative bowel obstruction are very rare. Insertion of trocars at a narrow angle to the abdominal wall may cause larger fascia defects than the actual size of the trocar. Manual examination and closure of large defects, if possible, may prevent such complications.
Storms
P
P
Department of Surgery, A.Z. St.-Elisabeth Hospital, Herentals, Belgium.
Stuyven
G
G
Vanhemelen
G
G
Sebrechts
R
R
D005205:Fascia / Q000293:injuries*; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D007431:Intraoperative Complications; D020706:Laparoscopes; D010535:Laparoscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation