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An Unusual Trocar Site Hernia after Prostatectomy
Ryan K Schmocker1, Jacob A Greenberg1
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Case Reports in Surgery
|September 21, 2016
Summary
Trocar site hernias, though rare after laparoscopic surgery, are increasing. This case details an incarcerated appendix within a 12mm trocar site hernia after robotic prostatectomy, successfully treated with appendectomy and hernia repair.
Area of Science:
- Minimally Invasive Surgery
- Surgical Complications
- Abdominal Surgery
Background:
- Trocar site hernias (TSH) are uncommon but recognized complications of laparoscopic surgery.
- TSH incidence is rising with increased use of laparoscopic and robotic procedures.
- Larger port sites, especially umbilical, are most frequently associated with TSH.
Purpose of the Study:
- To report a rare case of trocar site hernia following robotic prostatectomy.
- To highlight the potential for organ incarceration within TSH.
- To describe the successful management of TSH with incarcerated appendix.
Main Methods:
- Case report of a patient undergoing robotic prostatectomy.
- Identification of a 12mm right lower quadrant trocar site hernia.
- Surgical intervention involving appendectomy and primary hernia repair.
Main Results:
- A trocar site hernia developed at a 12mm port site in the right lower quadrant.
- The vermiform appendix was found incarcerated within the hernia.
- The patient underwent successful appendectomy and hernia repair without complications.
Conclusions:
- Trocar site hernias can occur even at smaller port sites in the lower quadrants.
- Incarceration of abdominal contents, such as the appendix, is a potential risk.
- Prompt surgical management ensures favorable outcomes for TSH with incarceration.
