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Port Site Herniation of the Small Bowel following Laparoscopic-Myomectomy: A case report
Ghazi A Elshafie1, Khalifa Al-Wahaibi, Ahmed Al-Azri
1Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Abstract:
Bowel herniation, through fascial defects secondary to laparoscopic surgery at the site of trocar entry, is a rare, but potentially serious, complication. Closure of the fascia at port sites measuring 10mm or more has been highly recommended to avoid such complications. We report a case of a small bowel which herniated and strangulated through the port site immediately after laparoscopic myomectomy. Resection of the strangulated bowel with primary anastomosis was required to manage this complication. We present this case report with literature review to discuss the risk factors and the methods to prevent such a complication post laparoscopic surgery.
Insights
Hernias can occur through laparoscopic surgery sites. Prompt closure of fascia at 10mm+ port sites is crucial to prevent serious bowel complications like strangulation.
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Bowel herniation through fascial defects at trocar sites is a rare but serious laparoscopic surgery complication.
- Fascial closure at port sites ≥10mm is recommended to prevent hernias.
Purpose of the Study:
- To report a case of small bowel strangulation through a port site after laparoscopic myomectomy.
- To review risk factors and prevention methods for post-laparoscopic surgery hernias.
Main Methods:
- Case report presentation.
- Literature review on laparoscopic port site hernias.
Main Results:
- A case of small bowel strangulation occurred immediately after laparoscopic myomectomy.
- Surgical resection and anastomosis were required for management.
Conclusions:
- Port site hernias are a significant risk after laparoscopic procedures.
- Emphasizing fascial closure at larger port sites is vital for patient safety.
