Trocar-site Herniation after Laparoscopic Myomectomy via Culdotomy Extraction
Gynecology and Minimally Invasive Therapy, cilt.13, sa.3, ss.189-191, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.4103/gmit.gmit_157_23
- Dergi Adı: Gynecology and Minimally Invasive Therapy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.189-191
- Anahtar Kelimeler: 5-mm trocar, laparoscopic myomectomy, trocar-site hernia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Trocar-site hernia is a rare and life-threatening complication of laparoscopic abdominal surgery; 5-mm trocar-site bowel herniation is rarer than ≥ 10-mm trocar-site herniation. We present a 41-year-old female patient on the postoperative 6 th day with laparoscopic myomectomy admitted to our emergency department with severe vomiting and nausea. At the end of the evaluations, she was diagnosed with 5-mm trocar-site small bowel herniation. A herniated small bowel segment was rescued through the laparotomy. After full recovery, the patient was discharged on the 3 rd day of hospitalization. Although there is no consensus on the closure of small fascia incisions (<10 mm) routinely, we suggest that all fascia incisions should be assessed in patients at risk to prevent trocar-site hernias. According to our investigation for trocar-site hernia in the literature, laparoscopic myomectomy may be considered a risk factor.