Strangulated incisional hernia at trocar site.
An incisional hernia at a trocar site after laparoscopy may arise from infection, premature suture disruption, or failure to adequately reapproximate fascial wound edges. The condition is accurately diagnosed postoperatively on physical examination, and a bulge at a previous port site should immediately raise suspicion. A case is reported in which an incisional hernia strangulated soon after an elective laparoscopic inguinal herniorrhaphy in which, the fascia of the 10-mm trocar site was not closed. This report underscores the importance of meticulous closure of all abdominal port sites > 5 mm. Furthermore, early diagnosis of an incarcerated hernia may avoid the morbidity of an extensive intestinal resection.
Jones
D B
DB
Washington University School of Medicine, Department of Surgery, St. Louis, Missouri, USA.
Callery
M P
MP
Soper
N J
NJ
D006552:Hernia, Inguinal / Q000601:surgery*; D006555:Hernia, Ventral / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011677:Punctures; D013526:Surgical Mesh