Five-millimeter trocar site small bowel eviscerations after gynecologic laparoscopic surgery.
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.
Moreaux
Grégoire
G
Department of Obstetrics, Gynecology and Reproductive Medicine, Poissy, France.
Estrade-Huchon
Sonia
S
Bader
Georges
G
Guyot
Bernard
B
Heitz
Denis
D
Fauconnier
Arnaud
A
Huchon
Cyrille
C
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