Strangulated Small Bowel Herniation Through a 12-mm Trocar Site In an Obese Patient.
- Author:
Ji Hoon KIM
1
;
Eun Young KIM
;
Sung Kyun PARK
;
In Kyu LEE
;
Hyung Jin KIM
;
Jong Kyung PARK
;
Yoon Suk LEE
;
Seung Teak OH
;
Jun Gi KIM
Author Information
1. Division of Coloproctology, Department of Surgery, The Catholic University of Korea, Collge of Medicine, Incheon, Korea. yslee@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Trocar site hernia;
Obesity;
Strangulation
- MeSH:
Aged;
Fascia;
Hernia;
Humans;
Laparoscopy;
Obesity;
Rectal Neoplasms;
Surgical Instruments
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009;12(2):157-159
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A trocar site hernia is a rare complication after laparoscopic surgery. Hence, a trocar site that's larger than 10 mm should be closed to prevent complications. Here we describe a case of strangulated small bowel herniation through a 12 mm-trocar site even though the fascia had been closed. A 78-year-old obese (BMI 30.7 kg/m2) patient with rectal cancer underwent an uncomplicated laparoscopic low anterior resection. On the eighth post-operative day, she presented with a right lower quadrant painful mass, and abdominal CT showed small bowel herniation through the right lower quadrant 12-mm trocar site. In the surgical field, the small bowel was resected via the extended trocar site wound and the fascial defect was repaired.
