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https://doi.org/10.20471/LO.2018.46.01.03
Rare case of early-onset drain-site hernia after laparoscopic surgery
Mario Puljiz
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Luka Marcelić
orcid.org/0000-0001-5984-445X
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ilija Alvir
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivica Mamić
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Damir Danolić
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Lucija Šušnjar
; Clinical Department of Gynecologic Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Darko Tomica
; Department of Gynecology and Obstetrics, General Hospital Scheibbs, Scheibbs, Austria
Vesna Stepanić
; Department of Gynecology and Obstetrics, University Hospital Merkur, Zagreb, Croatia
Abstract
Port site hernia is very rare but serious complication after laparoscopic procedures. In clinical practice drain is often placed in 10 mm or larger trocar port sites. We report a case of 61-year-old woman who underwent laparoscopy and developed small bowel herniation and incarceration in a 12 mm port site in which 24 Fr drain was inserted leaving real free space of approximately 4 mm. There are only a few case reports with the similar pathology. Priority should always be on the adequate fascial closure of port sites. Smaller trocar insertion sites (<10 mm) should be used as insertion sites for drains.
Keywords
laparoscopy complications; drain-site; herniation; fascial closure
Hrčak ID:
204688
URI
Publication date:
20.7.2018.
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