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Trocar site spigelian-type hernia after robot-assisted laparoscopic prostatectomy
Massimiliano Spaliviero1, E N Shea Samara, Ikechukwu K Oguejiofor
1Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Urology
|July 16, 2008
Summary
A 71-year-old man developed a small bowel obstruction after prostate cancer surgery due to a spigelian hernia at a trocar site. Surgical repair involved small bowel resection and enteroenterostomy.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Background:
- Robot-assisted laparoscopic prostatectomy is a minimally invasive procedure for prostate cancer.
- Spigelian hernias can occur at trocar sites, presenting as abdominal pain or obstruction.
Observation:
- A 71-year-old male patient underwent bilateral nerve-sparing robot-assisted laparoscopic prostatectomy for prostate adenocarcinoma.
- Postoperatively, the patient developed a small bowel obstruction.
- The obstruction was caused by a spigelian hernia incarcerated at an 8-mm trocar site.
Findings:
- The spigelian hernia incarcerated within the trocar site led to small bowel obstruction.
- Surgical intervention was necessary for repair.
- The repair involved small bowel resection and primary enteroenterostomy.
Implications:
- Trocar site hernias are a potential complication of minimally invasive surgery.
- Early recognition and surgical management are crucial for treating incarcerated hernias.
- This case highlights the importance of vigilance for abdominal wall complications post-laparoscopy.
