Korean J Obstet Gynecol.  2010 Jun;53(6):551-555. 10.5468/kjog.2010.53.6.551.

Small bowel hernia through 5 mm trocar site with drainage tube in situ and its reduction by laparoscopy: A case report

• Cho BS
• Kim SR
• Kang GE
• Hoh JK
• Kim SH
• Lee JH
• Cho SH

• KMID: 2273898
• DOI: http://doi.org/10.5468/kjog.2010.53.6.551

Abstract

The incisional hernia through trocar site is an uncommon complication of gynecologic laparoscopy. Its incidence is less than 1% and most of them are occurring through 10 mm trocar site. Small bowel herniation through 5 mm trocar site is very rare. Furthermore, 5 mm trocar site bowel herniation with drain tube in situ has not yet been reported. We present a case of small bowel herniation through 5 mm trocar site with drain tube in situ and its reduction by laparoscopy with a brief review of literature.

Keyword

Laparoscopy; Trocar; Hernia; Drainage

MeSH Terms

Drainage
Hernia
Incidence
Laparoscopy
Surgical Instruments

Figure

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  Figure 1 Preoperative simple abdomen with multiple step ladder fluid levels suggesting mechanical ileus. Drainage tube is seen in the right lower abdominal area.

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  Figure 2 (A) Small bowel perforation made during the insertion of the 5 mm laparoscope through the previous right lower 5 mm trocar site. (B) Small bowel hernia into the 5 mm trocar site seen from the 10 mm umbilical laparoscope.

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  Figure 3 (A) Reduced small bowel loops. The herniated portion is about 20 cm in length and perforation site is seen. (B) Laparoscopic suture repair of perforated bowel with 4-0 vicryl by 2 layers of intracorporeal interrupted sutures.

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