Naslov
A rare case of giant 5 mm port-site preperitoneal small-bowel incarceration without fascial defect following laparoscopic hysterectomy

Autori
Marton, Ingris ; Sever, Marko ; Prka, Matija ; Šerman, Alan ; Tupek, Tvrtko ; Klancir, Tino

Izvornik
Journal of obstetrics and gynaecology (0144-3615) 43 (2022), 1; 2130209, 3

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
5 mm port-site hernia (PSH) ; blunt trocars ; preperitoneal bowel incarceration

Sažetak
The increased use of laparoscopy has resulted in certain com-plications specifically associated with the laparoscopic approach like port-site hernia (PSH). PSH following laparo-scopic surgery is less common compared with incisional hernia occurring after open surgery. According to the literature, the incidence of PSH ranges from 0.2% to 3.1% (Swank et al. 2012). It is believed that port diameter and access technique affect the rate of hernia formation. In most of the reported cases, PSH appears when larger diameter port is used, in eld-erly and patients with higher body mass index (BMI). Extensive tissue manipulation, increased operative time and the effect of a partial vacuum while withdrawal of the port increase the risk of PSH formation (Tonouchi et al. 2004). Clinical signs include gross disruption of the wound and the drainage, presence of a bulge with exertion or Valsalva or painful bulge due to bowel or omentum incarceration. Patients usually present with clinical signs of bowel obstruction or infarction.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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