title: Five-millimeter trocar site small bowel eviscerations after gynecologic laparoscopic surgery.
abstract: Trocar site hernia is a known complication after laparoscopic surgery, especially at 10-mm and larger port sites. Only a few cases of herniation through 5-mm port sites are reported in the literature. We describe 2 cases of bowel herniation and bowel obstruction through 5-mm port sites. The patients were 63 and 74 years old; both had endometrial cancer and underwent an uncomplicated hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymphadenectomy with peritoneal drains left at the lateral 5-mm port sites. Each patient presented symptoms of small bowel obstruction after which the drains were removed and were found to have evisceration through a laterally placed 5-mm port site. The bowel was reduced locally, and a segmental bowel resection was needed in 1 case. Bowel herniation can occur through the fascial defect after placement of a 5-mm port, especially if drains have been placed at the port site.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Poissy, France.
authors.forename: Grégoire
authors.initials: G
authors.lastname: Moreaux
authors.forename: Sonia
authors.initials: S
authors.lastname: Estrade-Huchon
authors.forename: Georges
authors.initials: G
authors.lastname: Bader
authors.forename: Bernard
authors.initials: B
authors.lastname: Guyot
authors.forename: Denis
authors.initials: D
authors.lastname: Heitz
authors.forename: Arnaud
authors.initials: A
authors.lastname: Fauconnier
authors.forename: Cyrille
authors.initials: C
authors.lastname: Huchon
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008197:Lymph Node Excision; D008875:Middle Aged