Trocar site hernia on an 8-mm port following robotic-assisted hysterectomy

Kilic G. S., Bildaci T. B., Tapisiz O. L., ALANBAY İ., Walsh T., Swanson O.

Journal of the Chinese Medical Association, vol.77, no.2, pp.112-114, 2014 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 77 Issue: 2
  • Publication Date: 2014
  • Doi Number: 10.1016/j.jcma.2013.10.003
  • Journal Name: Journal of the Chinese Medical Association
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.112-114
  • Keywords: complication, hernia, hysterectomy, robotic, trocar
  • Lokman Hekim University Affiliated: No

Abstract

The increasing use of laparoscopy has resulted in added complications specific to the laparoscopic approach, such as trocar site hernia (TSH), which is an uncommon but well-recognized problem for both regular laparoscopic and robotic-assisted laparoscopic procedures. We describe an extremely rare case of TSH at an 8-mm port site occurring a relatively short time after surgery in a 53-year-old patient undergoing robotic-assisted laparoscopic hysterectomy for benign reasons. Additionally, this report attempts to explain the possible etiological factors relating to TSH following robotic-assisted surgery. According to our case report, a defect in the 8-mm port that may lead to hernia is one possible explanation, and closure of the 8-mm trocar sites' fascia may be a safer approach during robotic-assisted surgery. Additional reports are needed to accurately determine the frequency of occurrence and importance of this complication. © 2013.