Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
A Case of Port-site Hernia at the Drain Site Following Laparoscopic-assisted Colon Resection
Yuki SakashitaShunsuke AkimotoRyota IwaseToshiyuki SasakiNobuo Omura
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JOURNAL FREE ACCESS

2018 Volume 43 Issue 4 Pages 761-767

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Abstract

A woman in her 80s underwent laparoscopic-assisted high anterior resection for sigmoid colon cancer. She developed abdominal distension and vomiting on the fifth post-operative day. Abdominal CT-scan revealed incarcerated small bowel loop at the drain site in the right lower abdomen and obstruction of the small intestine.

The drain was immediately removed and an attempt was made to restore incarcerated bowel segment back into the abdominal cavity. However, the bowel could not be restored and an emergency exploration was performed laparoscopically.

A part of ileum was found to be incarcerated into the drain site, and was pushed back into the abdominal cavity. There was no intestinal ischemia rendering a resection unnecessary.

Port-site hernia is a relatively rare complication, however, cases are increasingly being reported with the advent of laparoscopic surgery. The possibility of port site hernia should be considered in the presence of bowel obstruction following laparoscopic surgery.

Suturing peritoneum, and fascia during port closure is necessary for preventing the occurrence of port-site herniation.

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© 2018 Japanese College of Surgeons
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