A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy
Issued Date
2024-08-01
Resource Type
eISSN
26665778
Scopus ID
2-s2.0-85198526328
Journal Title
AJOG Global Reports
Volume
4
Issue
3
Rights Holder(s)
SCOPUS
Bibliographic Citation
AJOG Global Reports Vol.4 No.3 (2024)
Suggested Citation
Srisombut C., Paktinun N., Timratana P. A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy. AJOG Global Reports Vol.4 No.3 (2024). doi:10.1016/j.xagr.2024.100368 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/99736
Title
A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy
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Abstract
Port-site herniation (PSH) is a rare complication observed postlaparoscopic surgery, typically associated with port sizes of 10 mm or larger, commonly occurred at umbilicus. While occurrences of extra-umbilicus with port size smaller than 10 mm are rare, we present a case detailing a lateral 7 mm PSH diagnosed on the 8th day following a total laparoscopic hysterectomy. The patient exhibited clinical symptoms indicative of partial small bowel obstruction, which became apparent on the third postoperative day. Computed tomography revealed significant small bowel dilatation and herniation through the previously employed 7 mm trocar site. Notably, this trocar site had been utilized with uterine screw. Prompt laparoscopic repair successfully addressed the herniation. The patient demonstrated satisfactory recovery and was subsequently discharged. While current practice recommends fascial incision closure for port size ≥10 mm. In light of our case, we propose considering fascial closure for small-size trocar subjected to any use of a manipulator.