IMR Press / EJGO / Volume 20 / Issue 4 / pii/1999173

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Small bowel obstruction secondary to herniation through a 5-mm laparoscopic trocar site following laparoscopic lymphadenectomy

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1 Division of Gynecologic Oncology, University of Vermont, Burlington, Vermont, USA
Eur. J. Gynaecol. Oncol. 1999, 20(4), 275–276;
Published: 10 August 1999

Incisional hernias occur in <l % of women undergoing operative laparoscopy and are mostly limited to trocar sites ≥10 mm. This is a report of a 54-year-old woman with endometrial cancer who presented with nausea, vomiting and abdominal pain l week following laparoscopically-assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, and lymphadenectomy. Abdominal radio­graphs and computed tomography demonstrated small bowel obstruction and herniation through a 5-mm trocar site. Reduction of the hernia and closure of the fascial incision were performed at exploratory laparotomy with normal recovery. Bowel herniation can occur through 5-mm trocar sites following prolonged operative laparoscopy. The peritoneum and fascia of these incisions should be closed.

Incisional hernia
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