腹腔鏡手術術後 ドレーン抜去時に発生した卵管ポートサイトヘルニアの一例

抄録

  A port site hernia is a rare complication, which occurs in 0.5% of patients after laparoscopic surgery. We report a case of a port site fallopian tube hernia, a complication that occurred due to the removal of an 8 mm intraperitoneal drain placed on the port wound.

  A 38-year-old non-parous woman, suffering from primary infertility, underwent a laparoscopic myomectomy for a uterine intramural leiomyoma (3.5 cm). Four ports (a 12 mm navel port for the camera, 5 mm ports for the left side and center of the lower abdomen, and a 12 mm right side port) were placed for the operation. The intraoperative course was smooth and 2 myomas (30 g) were removed. An intraperitoneal low-pressure suction drain (8 mm) was placed on the left side port wound. On the first postoperative day, the drain was removed smoothly through the port wound; however, the left fallopian tube was herniated. The patient was diagnosed with a port site fallopian tube hernia, which was repaired by pushback. Since the number of laparoscopic surgeries is on the rise, considerations must be made for rare complications like port site hernias.