J Korean Soc Endosc Laparosc Surg.
2009 Dec;12(2):157-159.
Strangulated Small Bowel Herniation Through a 12-mm Trocar Site In an Obese Patient
- Affiliations
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- 1Division of Coloproctology, Department of Surgery, The Catholic University of Korea, Collge of Medicine, Incheon, Korea. yslee@catholic.ac.kr
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.
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