scholarly journals Five-Millimetre Trocar Site Herniation as a Late Complication After Six Years Following Laparoscopic Appendectomy in Nine-year-old Boy

2019 ◽  
pp. 1-2
Author(s):  
Hasan Ozkan Gezer ◽  
Semire Serin Ezer
Keyword(s):  
Case Report ◽  
Incisional Hernia ◽  
Laparoscopic Appendectomy ◽  
Late Complication ◽  
Minimal Invasive ◽  
Adult Patients ◽  
Review Of The Literature ◽  
Trocar Site ◽  
Trocar Site Hernia ◽  
Omental Herniation

Trocar site hernia (TSH) is a type of incisional hernia occurring at the trocar sites after minimal invasive surgeries, most often in adult patients with non-sutured trocar sites. This is a case report of a 5 mm trocar site omental herniation six years after laparoscopic appendectomy in a nine-year-old boy to emphasize that incisions should be closed using fascial and cutaneous sutures, regardless of trocar size and localization, to prevent TSH. We conducted a brief review of the literature on this topic.

Trocar-site hernia at the 8-mm robotic port after robot-assisted laparoscopic prostatectomy: a case report and review of the literature

2013 ◽  
Vol 8 (1) ◽  
pp. 89-91 ◽  
Author(s):  
James Hok-Leung Tsu ◽  
Ada Tsui-Lin Ng ◽  
Jason Ka-Wing Wong ◽  
Edmond Ming-Ho Wong ◽  
Kwan-Lun Ho ◽  
...  
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Robot Assisted ◽  
Trocar Site ◽  
Laparoscopic Prostatectomy ◽  
Trocar Site Hernia

Umbilical Fascial Defects are Common and Predict Trocar Site Hernias After Laparoscopic Appendectomy

2021 ◽  
pp. 000313482199506
Author(s):  
Steven M. Hernandez ◽  
Elizabeth A. Kiselak ◽  
Tania Zielonka ◽  
Scarlett Tucker ◽  
Melissa Blatt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Appendectomy ◽  
Medical Center ◽  
Area Under The Curve ◽  
Demographic Information ◽  
Fascial Defect ◽  
Trocar Site ◽  
Trocar Site Hernia ◽  
Preoperative Ct ◽  
Tomography Scan

Introduction Investigations have demonstrated that trocar site hernia (TSH) is an under-appreciated complication of laparoscopic surgery, occurring in as many as 31%. We determined the incidence of fascial defects prior to laparoscopic appendectomy and its impact relative to other risk factors upon the development of TSH. Methods TSH was defined as a fascial separation of ≥ 1 cm in the abdominal wall umbilical region on abdominal computerized tomography scan (CT) following laparoscopic appendectomy. Patients admitted to our medical center who had both a preoperative CT and postoperative CT for any reason (greater than 30 days after surgery) were reviewed for the presence of TSH from May 2010 to December 2018. CT scans were measured for fascial defects, while investigators were blinded to film timing (preoperative or postoperative) and patient identity. Demographic information was collected. Results 241 patients undergoing laparoscopic appendectomy had both preoperative and late postoperative CT. TSH was identified in 49 (20.3%) patients. Mean preoperative fascial gap was 3.3 ± 4.3 mm in those not developing a postoperative hernia versus 14.8 ± 7.3 mm in those with a postoperative hernia ( P < .0001). Preoperative fascial defect on CT was predictive of TSH ( P < .001, OR = 1.44), with an Area Under the Curve (AUC) of .921 (95%CI: .88–.92). Other major risk factors for TSH were: age greater than 59 years ( P < .031, OR = 2.48); and obesity, BMI > 30 ( P < .012, OR = 2.14). Conclusions The incidence of trocar site hernia was one in five following laparoscopic appendectomy. The presence of a pre-existing fascial defect, advanced age, and obesity were strong predictors for the development of trocar site hernia.

scholarly journals Strangulated Richter's incisional hernia presenting as an abdominal mass with necrosis of the overlapping skin. A case report and review of the literature

2017 ◽  
Vol 5 (3) ◽  
pp. 253-256 ◽  
Author(s):  
Georgios Sahsamanis ◽  
Stavros Samaras ◽  
Konstantinos Gkouzis ◽  
Georgios Dimitrakopoulos
Keyword(s):  
Case Report ◽  
Incisional Hernia ◽  
Abdominal Mass ◽  
Review Of The Literature

scholarly journals Omental Torsion after Laparoscopic Roux-en-Y Gastric Bypass Mimicking Appendicitis: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Alexandre Descloux ◽  
Giacinto Basilicata ◽  
Antonio Nocito
Keyword(s):  
Gastric Bypass ◽  
Case Report ◽  
Acute Abdomen ◽  
Diagnostic Laparoscopy ◽  
Rare Complication ◽  
Late Complication ◽  
Postoperative Phase ◽  
Review Of The Literature ◽  
Common Procedure ◽  
Omental Torsion

Introduction. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a common procedure in obesity surgery. The aim of an antecolic approach is to reduce the rate of internal herniation. Our aim is to make bariatric surgeons aware of another possible complication of antecolic LRYGBP.Methods and Results. We present a case report of omental torsion 24 months after antecolic LRYGBP presenting as an acute abdomen, suggesting appendicitis. During diagnostic laparoscopy, omental infarction due to torsion was observed. Resection of the avital omentum was performed.Discussion. Omental torsion after antecolic LRYGBP is a rare complication. When appearing in the early postoperative phase, it may mimic an anastomotic leakage. It may also occur as late complication, presenting with acute abdomen as an appendicitis.

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