Strangulated Appendix within a Trocar Site Incisional Hernia Following Laparoscopic Low Anterior Rectal Resection. A Case Report

Menenakos, Charalambos; Tsilimparis, Nikolaos; Guenther, Nina; Braumann, Chris

doi:10.1080/00015458.2009.11680450

Cited by 10 publications

(10 citation statements)

References 6 publications

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“…Although they usually contain omental fat or small bowel, three cases of the vermiform appendix being present in a symptomatic port-site hernia have been reported [1, 13, 14]. Port-site hernias in general are reported to occur with an incidence of 0.74%, depending on the type of laparoscopic surgery performed.…”

Section: Discussionmentioning

confidence: 99%

Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case

Gass

Zynamon

Flüe

et al. 2013

Case Reports in Surgery

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The herniated vermiform appendix has been described as content of every hernia orifice in the right lower quadrant. While the femoral and inguinal herniated vermiform appendix is frequent enough to result in an own designation, port-site or even drain-site hernias are less frequently described. We report the case of a 62-year-old woman who presented with right lower quadrant pain seven years after Roux-en-Y Cystojejunostomy for a pancreatic cyst. CT scan showed herniation of the vermiform appendix through a former drain-site. A diagnostic laparoscopy with appendectomy and direct closure of the abdominal wall defect combined with mesh reinforcement was performed. Despite the decreasing use of intraperitoneal drains over the recent years, a multitude of patients had intraperitoneal drainage in former times. These patients face nowadays the risk of drain-site hernias with sometimes even unexpected structures inside.

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Section: Discussionmentioning

confidence: 99%

Drain-Site Hernia Containing the Vermiform Appendix: Report of a Case

Gass

Zynamon

Flüe

et al. 2013

Case Reports in Surgery

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“…With the introduction of laparoscopy and thoracoscopy, herniation or evisceration of intra-abdominal organs including the appendix has been one of the many complications of the same. Strangulation of the appendix caused by an incisional trocar site hernia following laparoscopy was reported by Menenakos et al [4].…”

Section: Discussionmentioning

confidence: 89%

Evisceration of Appendix through the Drain Site: A Rare Case Report

Ravishankaran

Rajamani

2011

Indian J Surg

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Placing a drain after surgery is a usual procedure in any emergency abdominal operation. The drain is removed as soon as its purpose of draining the intraabdominal collection in served. Evisceration of intraabdominal organs through the drain site is a rare occurance. This case report is about an 12 year old girl who was admitted with blunt trauma abdomen. After completion of emergency laparotomy a drain was placed in the right lower quadrant. When the drain was removed on the 6th post operative day, the appendix eviscerated out of the drain site. The wound was extended a little and an appendectomy was done. This case is presented for its rarity as only two similar instances have been reported in literature so far.

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“…[11] Two previous cases of the appendix appearing in a PSH have been described, one of which presented in a similar manner and location to our case. [4] Standard appendectomy through the hernial defect is the treatment of choice if access permits, otherwise consideration should be given to conversion to a transabdominal route for improved access or if appendicitis has generated significant wound contamination. Mesh hernioplasty is safe if no wound contamination occurs.…”

Section: Discussionmentioning

confidence: 99%

“…[34] We describe a symptomatic, third case of appendiceal entrapment in a laparoscopic PSH and discuss how PSH incidence may be reduced.…”

Section: Introductionmentioning

confidence: 99%