BACKGROUND: Trocar site hernia is a known, rare complication after laparoscopic surgery. We describe a case of bowel herniation, evisceration, and bowel obstruction through an 8-mm robotic port site. CASE: A 67-year-old patient with endometrial cancer underwent an uncomplicated robotic hysterectomy, bilateral salpingo-oophorectomy, and pelvic and aortic lymphadenectomy. Four days later, she presented with symptoms of a small bowel obstruction and was found to have evisceration through a laterally placed 8-mm robotic port site. The bowel was reduced locally and the fascial defect repaired without midline laparotomy or bowel resection. CONCLUSION: Bowel herniation can occur through the fascial defect after placement of an 8-mm robotic port. Continued reporting is needed to accurately gauge the occurrence of this complication.
BACKGROUND: Trocar site hernia is a known, rare complication after laparoscopic surgery. We describe a case of bowel herniation, evisceration, and bowel obstruction through an 8-mm robotic port site. CASE: A 67-year-old patient with endometrial cancer underwent an uncomplicated robotic hysterectomy, bilateral salpingo-oophorectomy, and pelvic and aortic lymphadenectomy. Four days later, she presented with symptoms of a small bowel obstruction and was found to have evisceration through a laterally placed 8-mm robotic port site. The bowel was reduced locally and the fascial defect repaired without midline laparotomy or bowel resection. CONCLUSION:Bowel herniation can occur through the fascial defect after placement of an 8-mm robotic port. Continued reporting is needed to accurately gauge the occurrence of this complication.
Authors: Maria B Schiavone; Maciej S Bielen; Ginger J Gardner; Oliver Zivanovic; Elizabeth L Jewell; Yukio Sonoda; Richard R Barakat; Dennis S Chi; Nadeem R Abu-Rustum; Mario M Leitao Journal: Gynecol Oncol Date: 2016-01-08 Impact factor: 5.482
Authors: Leslie H Clark; Pamela T Soliman; Diego Odetto; Mark F Munsell; Kathleen M Schmeler; Nicole Fleming; Shannon N Westin; Alpa M Nick; Pedro T Ramirez Journal: Gynecol Oncol Date: 2013-08-27 Impact factor: 5.482
Authors: Eun Ji Nam; Sang Wun Kim; Maria Lee; Ga Won Yim; Ji Heum Paek; San Hui Lee; Sunghoon Kim; Jae Hoon Kim; Jae Wook Kim; Young Tae Kim Journal: J Gynecol Oncol Date: 2011-06-30 Impact factor: 4.401