NDLI: Trocar-site hernia following laparoscopic salpingo-oophorectomy in a middle-aged Japanese woman: an initial case report after 40 years of experience at a single center and a brief literature review

Content Provider	Springer Nature : BioMed Central
Author	Ota, Kuniaki Katagiri, Yukiko Katakura, Masafumi Mukai, Takafumi Nakaoka, Kentaro Maemura, Toshimitsu Takahashi, Toshifumi Morita, Mineto
Abstract	Background In gynecology, the number of laparoscopic surgeries performed has increased annually because laparoscopic surgery presents a greater number of advantages from a cosmetic perspective and allows for a less invasive approach than laparotomy. Trocar site hernia (TSH) is a unique complication that causes severe small bowel obstruction and requires emergency surgery. Its use has mainly been reported with respect to gastrointestinal laparoscopy, such as for cholecystectomy. Contrastingly, there have been few reports on gynecologic laparoscopy because common laparoscopic surgeries, such as laparoscopic salpingo-oophorectomy, are considered low risk due to shorter operative times. In this study, we report on a case of a woman who developed a TSH 5 days postoperatively following a minimally invasive laparoscopic surgery that was completed in 34 min. Case presentation A 41-year-old woman who had undergone laparoscopic salpingo-oophorectomy 5 days previously presented with the following features of intestinal obstruction: persistent abdominal pain, vomiting, and inability to pass stool or flatus. A computed tomography scan of her abdomen demonstrated a collapsed small bowel loop that was protruding through the lateral 12-mm port. Emergency surgery confirmed the diagnosis of TSH. The herniated bowel loop was gently replaced onto the pelvic floor and the patient did not require bowel resection. After the surgical procedure, the fascial defect at the lateral port site was closed using 2-0 Vicryl sutures. On the tenth postoperative day, the patient was discharged with no symptom recurrence. Conclusions The TSH initially presented following laparoscopic salpingo-oophorectomy; however, the patient did not have common risk factors such as obesity, older age, wound infection, diabetes, and prolonged operative time. There was a possibility that the TSH was caused by excessive manipulation during the tissue removal through the lateral 12-mm port. Thereafter, the peritoneum around the lateral 12-mm port was closed to prevent the hernia, although a consensus around the approach to closure of the port site fascia had not yet been reached. This case demonstrated that significant attention should be paid to the possibility of patients developing TSH. This will ensure the prevention of severe problems through early detection and treatment.
Related Links	https://bmcwomenshealth.biomedcentral.com/counter/pdf/10.1186/s12905-021-01528-6.pdf
Ending Page	7
Page Count	7
Starting Page	1
File Format	HTM / HTML
ISSN	14726874
DOI	10.1186/s12905-021-01528-6
Journal	BMC Women's Health
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2022-01-08
Access Restriction	Open
Subject Keyword	Gynecology Maternal and Child Health Reproductive Medicine Trocar site hernia Laparoscopy Salpingo-oophorectomy Minimally invasive surgery
Content Type	Text
Resource Type	Case study
Subject	Obstetrics and Gynecology Reproductive Medicine
Journal Impact Factor	2.4/2023
5-Year Journal Impact Factor	2.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Recurrent abdominal wall endometriosis at the trocar site of laparoscopy: A rare case

Asymptomatic trocar site hernias: An underestimated complication of laparoscopy.

Malignant transformation of endometriosis in a laparoscopic trocar site a case report

Correction to: Malignant transformation of endometriosis in a laparoscopic trocar site a case report

Contralateral ovarian endometrioma recurrence after unilateral salpingo-oophorectomy

Incarcerated hernia in 11-mm nonbladed trocar site following laparoscopic appendectomy.

Laparoscopic bilateral salpingo-oophorectomy as treatment for oestrogen dermatitis: a case report

Trocar Configuration in laparoscopic hysterectomy for benign indications

Strangulated small-bowel loop herniation at the 5 mm trocar entry site after laparoscopic ovarian cyst excision operation

Trocar-site hernia following laparoscopic salpingo-oophorectomy in a middle-aged Japanese woman: an initial case report after 40 years of experience at a single center and a brief literature review

Similar Documents

Recurrent abdominal wall endometriosis at the trocar site of laparoscopy: A rare case

Asymptomatic trocar site hernias: An underestimated complication of laparoscopy.

Malignant transformation of endometriosis in a laparoscopic trocar site a case report

Correction to: Malignant transformation of endometriosis in a laparoscopic trocar site a case report

Contralateral ovarian endometrioma recurrence after unilateral salpingo-oophorectomy

Incarcerated hernia in 11-mm nonbladed trocar site following laparoscopic appendectomy.

Laparoscopic bilateral salpingo-oophorectomy as treatment for oestrogen dermatitis: a case report

Trocar Configuration in laparoscopic hysterectomy for benign indications

Strangulated small-bowel loop herniation at the 5 mm trocar entry site after laparoscopic ovarian cyst excision operation

Trocar-site hernia following laparoscopic salpingo-oophorectomy in a middle-aged Japanese woman: an initial case report after 40 years of experience at a single center and a brief literature review