A Case of Port–Site Hernia Occurrence After Fascia Suturing

Abstract

Five days after undergoing laparoscopic–assisted distal gastrectomy tightly closing 12 mm port site fascia, a 74–year–old man showed symptoms of ileus. Abdominal computed tomography (CT) showed bowel obstruction due to small–intestine incarceration. Finding in emergency laparoscopy that the small intestine was incarcerated, we pushed it back into the abdominal cavity, rendering intestinal resection unnecessary. We concluded that suturing of all abdominal wall layers—peritoneum, muscle, and fascia—is essential in laparoscopy.