Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Incarcerated incisional hernia after laparoscopy. A case report

B R Kurtz1, J F Daniell, A T Spaw

  • 1Centennial Medical Center, Nashville, Tennessee.

The Journal of Reproductive Medicine
|August 1, 1993
PubMed
Summary

A trocar site hernia occurred after laparoscopy, causing small bowel obstruction. Prompt closure of the fascial defect prevented the need for bowel resection, highlighting key prevention strategies.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evaluation of bipolar technology for laparoscopic supracervical hysterectomy.

Surgical technology international·2003
Same author

Use of the PumpVac Plus Suction Irrigation System at Gynecologic Endoscopy.

Surgical technology international·2003
Same author

Early complications of laparoscopic hysterectomy.

Obstetrical & gynecological survey·1996
Same author

Early outcomes of laparoscopic-assisted vaginal hysterectomy versus laparoscopic supracervical hysterectomy.

The Journal of the American Association of Gynecologic Laparoscopists·1996
Same author

Endometrial ablation vs laparoscopic hysterectomy. Pro laparoscopic hysterectomy.

Journal of gynecologic surgery·1996
Same author

Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea.

Bailliere's clinical obstetrics and gynaecology·1995

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Laparoscopic procedures, including myomectomy, appendectomy, and endometriosis treatment, are common.
  • Trocar site hernias are a known, albeit infrequent, complication of laparoscopic surgery.
  • Larger trocar sites increase the risk of herniation.

Observation:

  • A patient developed small bowel obstruction on postoperative day 3 after laparoscopy.
  • Intraoperative findings revealed an incarcerated bowel loop through a 12-mm trocar site.
  • The incarcerated bowel loop did not necessitate resection.

Findings:

  • The small bowel obstruction was successfully treated by closing the fascial defect at the trocar site.
  • The patient recovered uneventfully after the defect closure.

Related Experiment Videos

  • No bowel resection was required, indicating early detection and intervention.

    • Implications:

    • Closing fascial defects after larger trocar removal is crucial for preventing trocar site hernias.
    • Releasing the pneumoperitoneum gradually or venting the trocar sheath prevents negative pressure.
    • Adherence to these techniques can significantly reduce the incidence of bowel incarceration and related complications.