Early-Onset Port Site (Drain Site) Hernia in Pediatric Laparoscopy: A Case Series

“…In the first, Ramalingam et al [18] described in a case series five omental herniation after drain removal from 5 mm trocar site after various types of laparoscopic urologic procedures. In the second, Moreaux et al [19] analyzed in a case series two cases of drain site herniation after removal of the drain from a 5 mm port site.…”

Section: Discussionmentioning

confidence: 99%

Case report of an uncommon case of drain-site hernia after colorectal surgery

Manigrasso

Anoldo

Milone

et al. 2018

International Journal of Surgery Case Reports

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“…In everyday clinical practice 12 mm or 10 mm trocar site is commonly used as the site for drain positioning (6,9). Ramalignam et al consider drain site hernia as a variety of port site hernia (8). The incidence of port site hernia is estimated to be between 0.65-2.80 % (5,9).…”

Section: Discussionmentioning

confidence: 99%

“…Moreaux et al reported two cases of drain site herniation after laparoscopic surgery in gynecology in a 5 mm port site in which drain was inserted, but herniation occured after drain removal (10). Ramalignam et al also described cases of drain site herniation after the removal of drain after pediatric laparoscopy (8). Manigrasso et al described small bowel herniation after laparoscopic left colectomy through a port site in which a drain was inserted leaving real free space of 2 mm (6).…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel incarceration as a complication of port site drainage following laparoscopy is extremely rare but potentially life-treating complication (5)(6)(7). Drain site hernia is considered to be one variety of port site hernia (8). The fi rst report in the literature of a port site hernia in the context of gynecological surgery originates from 1968 (9).…”

Section: Introductionmentioning

confidence: 99%

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Rare case of early-onset drain-site hernia after laparoscopic surgery

et al. 2018

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Port site hernia is very rare but serious complication after laparoscopic procedures. In clinical practice drain is often placed in 10 mm or larger trocar port sites. We report a case of 61-year-old woman who underwent laparoscopy and developed small bowel herniation and incarceration in a 12 mm port site in which 24 Fr drain was inserted leaving real free space of approximately 4 mm. There are only a few case reports with the similar pathology. Priority should always be on the adequate fascial closure of port sites. Smaller trocar insertion sites (<10 mm) should be used as insertion sites for drains.KEY WORDS: laparoscopy complications, drain-site, herniation, fascial closure HERNIJACIJA KROZ DRENAŽNI OTVOR KAO RIJETKA RANA -KOMPLIKACIJA LAPAROSKOPIJE Sažetak U kliničkoj praksi abdominalni dren se često postavlja na mjesta insercije troakara promjera većih od 10 mm, te je pojava hernije, kao vrlo rijetke ali ozbiljne komplikacije ovih zahvata moguća. U prikazanom slučaju, na mjestu insercije troakara promjera 12 mm lijevo postavljen je dren veličine 24 Fr koji je dodatno reducirao prostor dostupan za hernijaciju na oko 4 mm. Kroz ovaj otvor ipak je došlo do hernijacije i inkarceracije tankog crijeva, što je opisano u svega nekoliko slučaja. Smatramo kako je važno odgovarajuće zatvaranje defekata fascije na mjestu postavljanja troakara i postavljanje abdominalnog drena na mjesta insercije troakara promjera manjih od 10 mm.

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