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Port-site hernia: A potentially severe complication of minimally invasive surgery
Shinya Matsuzaki1,2, Michihide Maeda1, Tsuyoshi Hisa1
1Department of Gynecology Osaka International Cancer Institute Osaka Japan.
Key Clinical Message:
Recently, the number of minimally invasive surgeries (MIS) is increasing; however, a specific postoperative complication of MIS such as port-site hernia needs to be recognized. A persistent postoperative ileus after MIS is rare and such symptoms need to be recognized as a probable sign of a port-site hernia.
Abstract:
Recently, minimally invasive surgery (MIS) approaches for early endometrial cancer have shown non-inferior oncologic outcomes with better perioperative morbidity than open approaches. Nevertheless, port-site hernias are a rare but specific surgical complication of MIS. Knowing the clinical presentation, surgery for port-site hernias could help clinicians manage this condition.
Insights
Minimally invasive surgery (MIS) offers benefits, but port-site hernias are a rare complication. Persistent postoperative ileus may indicate a port-site hernia after MIS, requiring clinical recognition.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Abdominal Wall Surgery
Background:
- Minimally invasive surgery (MIS) is increasingly used for early endometrial cancer, demonstrating comparable oncologic outcomes to open surgery.
- MIS offers reduced perioperative morbidity compared to traditional open procedures.
- Port-site hernias are an uncommon but specific complication associated with MIS.

