A rare case of 5-mm trocar-site hernias after laparoscopy rectopexy requiring surgical repair
DOI:
https://doi.org/10.18203/2349-2902.isj20221731Keywords:
5 mm trocar hernia, Laparoscopy rectopexy, Rectal prolapse, Fascial closureAbstract
The 5 mm trocar-site hernia are very rare complication of laparoscopic surgery and surgeons usually avoid fascial closure at 5 mm trocar-site. We show a case of laparoscopic anterior rectomeshplasty with early omental herniation through a 5 mm trocar-site and surgical repair, as well as an advice on whether or not to undertake a fascial closure of the 5 mm trocar-site.
References
Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA. Systematic review of trocar-site hernia. Br J Surg. 2012;99:315-23.
Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia. 2011;15:113-21.
Kadar N, Reich H, Liu CY, Manko GF, Gimpelson R. Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstetr Gynecol. 1993;168(5):1493-5.
Yamamoto M, Minikel L, Zaritsky E. Laparoscopic 5-mm trocar site herniation and literature review. J Society Laparoendoscopic Surg. 2011;15(1):122.
Pereira N, Hutchinson AP, Irani M. 5-millimeter trocar-site hernias after laparoscopy requiring surgical repair. J Minim Invasive Gynecol. 2016;23:505-11.
Nezhat C. Incisional hernias after operative laparoscopy. J Laparoendosc Adv Surg Tech A. 1997;7(2):111-5.
Azurin DJ. Trocar site herniation following laparoscopic cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am Surg. 1995;8:718-20.
Montz FJ. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol. 1994;84(5):881-4.
Bhoyrul S, Payne J, Steffes B, Swanstrom L, Way LW. A randomized, prospective study of radially expanding trocars in laparoscopic surgery. J Gastrointest Surg. 2000;4(4):392-7.
Liu CD. Laparoscopic port sites do not require fascial closure when non bladed trocars are used. Am Surg. 2000;66(9):853-4.
Johnson WH. VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc. 2006;20(10):1584-6.
Shalhav A. Transperitoneal laparoscopic renal surgery using blunt 12-mm trocar without fascial closure. J Endourol. 2002;16(1):43-6.