Incarcerated hernia in a trocar site following laparoscopic gastric bypass.
This paper reports a case of small bowel occlusion due to the herniation of an ileal ansa at the site of the insertion of a 12-mm trocar. A 28-year-old obese female patient underwent laparoscopic surgery for gastric bypass, the skin incisions of the trocar insertion sites were closed with absorbable sutures. Small bowel occlusion occurred on post-operative day 6 and the patient again underwent laparoscopic surgery. Laparoscopic exploration confirmed the suspected presence of the incarcerated hernia of an ileal ansa at the site of the trocar insertion which was freed without any need for bowel resection. The fascial defect was successfully closed under direct vision with the use of a special system of fascial sutures.
Giuseppina
G
Ferro
Calogero
C
Cipolla
Angela
A
La Porta
Laura
L
Montana
Clizia Airò
CA
Farulla
Giuseppina
G
Guercio
Gianni
G
Pantuso
D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods*; D006547:Hernia / Q000150:complications / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000209:etiology*; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy; D013525:Surgical Instruments