Strangulated incisional hernia at trocar site

Daniel B. Jones*, Mark P. Callery, Nathaniel J. Soper

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

An incisional hernia at a trocar site after laparoscopy may arise from infection, premature suture disruption, or failure to adequately reapproximate fascial wound edges. The condition is accurately diagnosed postoperatively on physical examination, and a bulge at a previous port site should immediately raise suspicion. A case is reported in which an incisional hernia strangulated soon after an elective laparoscopic inguinal herniorrhaphy in which the fascia of the 10-mm trocar site was not closed. This report underscores the importance of meticulous closure of all abdominal port sites >5 mm. Furthermore, early diagnosis of an incarcerated hernia may avoid the morbidity of an extensive intestinal resection.

Original languageEnglish (US)
Pages (from-to)152-154
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume6
Issue number2
DOIs
StatePublished - Jan 1 1996

Keywords

  • Incisional hernia
  • Strangulated hernia
  • Trocar

ASJC Scopus subject areas

  • Surgery

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