Prevention and management of access port site hernia associated with the laparoscopic adjustable gastric band.
Access port site hernia is a rare complication associated with the laparoscopic adjustable gastric band (LAGB). Specifically, this unique problem occurs when a fascial defect allows herniation adjacent to the Silastic tubing connects the LAGB to the access port. A 48-year-old woman who had previously undergone placement of LAGB presented with a bulge lateral to the access port; physical examination revealed a hernia near the access port. At laparoscopy, a large portion of omentum was herniated lateral to the Silastic tubing at the port site. This was laparoscopically repaired by first reducing the omentum and then placing a surgical mesh underlay to cover the defect; the patient recovered uneventfully. Access port site hernia is a rare complication with only a single case report published in the literature. We present a case of access port site hernia that was laparoscopically repaired. In addition, we have identified several important technical aspects that may contribute to the development of access port site hernias.
Nelson
Lana G
LG
Bariatric Institute, Cleveland Clinic Florida, Weston, FL 33331, USA.
Mehran
Amir
A
Szomstein
Sam
S
Zundel
Nathan
N
Rosenthal
Raul R
RR
D005260:Female; D015391:Gastroplasty / Q000009:adverse effects* / Q000379:methods; D006547:Hernia; D046449:Hernia, Abdominal / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged