Incarcerated ventral wall hernia after robotic urogynecologic surgery: A case report

TY - JOUR

T1 - Incarcerated ventral wall hernia after robotic urogynecologic surgery

T2 - A case report

AU - Badiner, Nora

AU - Sansone, Stephanie

AU - Fenster, Tamatha

AU - Segal, Saya

N1 - Publisher Copyright: © 2021 The Authors

PY - 2021/10

Y1 - 2021/10

N2 - Trocar site hernia is a rare complication of minimally invasive surgery, with incidence estimates varying widely. Studies have demonstrated rates of up to 1.2% in patients undergoing gynecologic surgery. Yet, little is known about hernia risk in the urogynecologic patient population who undergo robotic reconstructive surgery. Risk factors for the development of trocar site hernia include both incisional risk factors (trocar placement location, trocar diameter, intraoperative trocar manipulation) and patient risk factors (obesity, pelvic organ prolapse or other hernia). This report presents a case of large incarcerated small bowel hernia at a trocar site following robotic urogynecologic surgery and the resulting interventions, including repeat surgery, to reduce the hernia. This case should prompt urogynecologic surgeons to check port sites after extensive dissections to assess if large peritoneal or fascial defects need additional closure.

AB - Trocar site hernia is a rare complication of minimally invasive surgery, with incidence estimates varying widely. Studies have demonstrated rates of up to 1.2% in patients undergoing gynecologic surgery. Yet, little is known about hernia risk in the urogynecologic patient population who undergo robotic reconstructive surgery. Risk factors for the development of trocar site hernia include both incisional risk factors (trocar placement location, trocar diameter, intraoperative trocar manipulation) and patient risk factors (obesity, pelvic organ prolapse or other hernia). This report presents a case of large incarcerated small bowel hernia at a trocar site following robotic urogynecologic surgery and the resulting interventions, including repeat surgery, to reduce the hernia. This case should prompt urogynecologic surgeons to check port sites after extensive dissections to assess if large peritoneal or fascial defects need additional closure.

KW - Case report

KW - Postoperative complications

KW - Robotic surgery

KW - Small bowel obstruction

KW - Trocar site hernia

UR - https://www.scopus.com/pages/publications/85112471498

U2 - 10.1016/j.crwh.2021.e00350

DO - 10.1016/j.crwh.2021.e00350

M3 - Article

SN - 2214-9112

VL - 32

JO - Case Reports in Women's Health

JF - Case Reports in Women's Health

M1 - e00350

ER -