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Bowel Herniation Through 5mm Port Site: An Unusual Complication
Shibumon Mundunadackal Madhavan1, Vamsi Krishna Potunru2, Alfred Joseph Augustine3
1Associate Professor, Department of General Surgery, Kasturba Medical College Hospital, Mangalore, Manipal University , Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|May 19, 2016
Summary
Small bowel herniation through a 5mm port site is a rare complication after laparoscopic myomectomy. Prompt diagnosis and surgical repair are crucial for patient recovery and preventing complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Trocar site herniation is an uncommon but serious complication of laparoscopic surgery.
- Herniation can occur through port sites of varying sizes, including smaller 5mm openings.
Observation:
- A 36-year-old female presented with symptoms of intestinal obstruction four days post-laparoscopic myomectomy.
- Imaging revealed a loop of small bowel herniating through a 5mm port site in the right iliac fossa.
Findings:
- Surgical exploration confirmed viable small bowel herniation through the enlarged fascial defect.
- The herniated bowel was reduced, and the fascial defect was surgically closed.
Implications:
- This case highlights the risk of small bowel herniation even through small (5mm) trocar sites.
- Early recognition and surgical intervention are essential to manage trocar site hernias and minimize patient morbidity.
