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 language||English (US)|
|Number of pages||3|
|Journal||Surgical Laparoscopy, Endoscopy and Percutaneous Techniques|
|State||Published - Jan 1 1996|
- Incisional hernia
- Strangulated hernia
ASJC Scopus subject areas