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Postoperative bowel herniation in a 5-mm nonbladed trocar site
Marilyn Huang1, Fernanda Musa, Caroline Castillo
1Department of Obstetrics & Gynecology, Division of Gynecology Oncology, New York Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Suite J 130, New York, NY 10021, USA. mhuang2@mdanderson.org
Background:
Incisional hernias are a rare complication of laparoscopic surgery, with a reported incidence of <1%.
Case Report:
We describe a case of bowel herniation and strangulation involving a 5-mm trocar site.
Conclusion:
Although there is growing literature supporting fascial closure of abdominal port sizes ≥ 10 mm, there is sparse data to suggest closure of 5-mm port sites. Our case illustrates that in appropriate clinical scenarios, the possibility of a strangulated hernia involving a 5-mm port site warrants consideration.
Insights
Incisional hernias after laparoscopic surgery are rare. This case highlights that even small, 5-mm trocar sites can lead to bowel strangulation, warranting consideration for closure.
Area of Science:
- Laparoscopic surgery
- Surgical complications
- Hernia research
Background:
- Incisional hernias are infrequent complications following laparoscopic procedures, with an incidence less than 1%.
- Fascial closure is increasingly recommended for port sites of 10 mm or larger.
Observation:
- This report details a specific case of bowel herniation and strangulation.
- The complication involved a 5-mm trocar site used during laparoscopic surgery.
Findings:
- While literature supports closing larger port sites, data on 5-mm sites is limited.
- This case demonstrates that 5-mm port sites can be implicated in strangulated hernias.
Implications:
- The findings suggest that 5-mm trocar site closure may be necessary in certain clinical situations.
- Clinicians should consider the risk of strangulated hernias at smaller port sites.
- Further research into the necessity of 5-mm port site closure is warranted.
