title: 5-millimeter trocar-site bowel herniation following laparoscopic surgery.
abstract: OBJECTIVE
  This is a case report of a 5-mm trocar-site large bowel herniation following laparoscopic tubal sterilization. During laparoscopic sterilization, the 5-mm port site was closed initially. Large bowel herniation was recognized at the end of the case and managed immediately by laparoscopically reducing the hernia and closing the port site without any short- or long-term complications. Trocar-site bowel hernia is a rare complication after laparoscopic surgery. It is usually associated with trocar size > 10 mm. We describe a case of bowel herniation through a 5-mm trocar site, which was managed after laparoscopic surgery.
  
  
  METHODS
  A 36-year-old multigravid patient underwent a laparoscopic tubal fulguration. Two 5-mm ports were used for the procedure. At the end of the procedure, the lateral trocar site was found to have fat protrusion that looked like appendices epiploicae. A laparoscopic camera was reintroduced into the abdominal cavity that showed a large bowel herniation through the 5-mm lateral port site. The hernia was reduced laparoscopically, and the fascial defect was repaired.
  
  
  CONCLUSIONS
  Bowel herniation can occur through a 5-mm port. All port sites should be closed to avoid such complications.
authors.affiliation: University of Toledo Medical Center, Dept OBGYN, Toledo, OH 43614, USA. nkhurshid@wisc.edu
authors.forename: Nauman
authors.initials: N
authors.lastname: Khurshid
authors.forename: Maurice
authors.initials: M
authors.lastname: Chung
authors.forename: Terrence
authors.initials: T
authors.lastname: Horrigan
authors.forename: Kelly
authors.initials: K
authors.lastname: Manahan
authors.forename: John P
authors.initials: JP
authors.lastname: Geisler
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D011677:Punctures; D013245:Sterilization, Reproductive / Q000009:adverse effects* / Q000379:methods*