Trocar site hernia on an 8-mm port following robotic-assisted hysterectomy

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• 作者：Gokhan Sami Kilic ; Tevfik Berk Bildaci ; Omer Lutfi Tapisiz ; Ibrahim Alanbay ; Teresa Walsh ; Olga Swanson
• 关键词：complication ; hernia ; hysterectomy ; robotic ; trocar
• 刊名：Journal of the Chinese Medical Association
• 出版年：February, 2014
• 年：2014
• 卷：77
• 期：2
• 页码：112-114
• 全文大小：798 K

文摘

The increasing use of laparoscopy has resulted in added complications specific to the laparoscopic approach, such as trocar site hernia (TSH), which is an uncommon but well-recognized problem for both regular laparoscopic and robotic-assisted laparoscopic procedures. We describe an extremely rare case of TSH at an 8-mm port site occurring a relatively short time after surgery in a 53-year-old patient undergoing robotic-assisted laparoscopic hysterectomy for benign reasons. Additionally, this report attempts to explain the possible etiological factors relating to TSH following robotic-assisted surgery. According to our case report, a defect in the 8-mm port that may lead to hernia is one possible explanation, and closure of the 8-mm trocar sites' fascia may be a safer approach during robotic-assisted surgery. Additional reports are needed to accurately determine the frequency of occurrence and importance of this complication.