Herniation Through a Five Millimeter Laparoscope Trocar Site: A Case Report
Laparoscopic surgery is currently performed on an increasing list of gynecologic operations. Many such procedures require two or three or more trocar ports ranging from 5 mm to 12 mm or more. It is common wisdom to close the fascial layers of an incision greater than 5 mm in diameter, as there have been anecdotal reports of herniations through large trocar sites. However, there have been no reports of an herniation through a 5-mm trocar site, and many surgeons in practice approximate the skin edges only during closure of these small incisions. We report a herniation through a 5-mm laparoscopic puncture site that occurred on the fourth postoperative day after an otherwise uncomplicated laparoscopic radical hysterectomy and lymph node dissection.
Toub
DB
The Graduate Hospital, Papour Pavilion 8th Floor, 805, Philadelphia, PA 19146.
Campion
MJ