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[Richter hernia in trocar site after laparoscopic herniotomy].
Ugeskr Laeger. 1995 Nov 13; 157(46):6438-9.UL

Abstract

A case of an incarcerated Richter's hernia in a 12-mm trocar site is presented. A 72 year old man underwent laparoscopic herniorrhapy because of a recurrent inguinal hernia. On the sixth postoperative day he developed abdominal pain, nausea, vomiting and abdominal distension. Plain abdominal X-ray showed bowel obstruction. Computed tomography with oral contrast showed herniation of small bowel above the fascia. The patient was immediately reoperated, the intestine was reduced, and the fascial defect at the trocar site closed. Three days later he underwent surgery again due to a small perforation of the small bowel and a persistent fascial defect. The patient had an uneventful postoperative course. Herniation through a trocar site is a rare complication-incarceration extremely rare. We recommend that all fascial defects of 10 mm or more are closed sufficiently.

Authors+Show Affiliations

Kirurgisk afdeling og røntgenafdelingen, Centralsygehuset i Holbaek.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

dan

PubMed ID

7483103

Citation

Bendsen, A K., et al. "[Richter Hernia in Trocar Site After Laparoscopic Herniotomy]." Ugeskrift for Laeger, vol. 157, no. 46, 1995, pp. 6438-9.
Bendsen AK, Bauer T, Johansen TP. [Richter hernia in trocar site after laparoscopic herniotomy]. Ugeskr Laeg. 1995;157(46):6438-9.
Bendsen, A. K., Bauer, T., & Johansen, T. P. (1995). [Richter hernia in trocar site after laparoscopic herniotomy]. Ugeskrift for Laeger, 157(46), 6438-9.
Bendsen AK, Bauer T, Johansen TP. [Richter Hernia in Trocar Site After Laparoscopic Herniotomy]. Ugeskr Laeg. 1995 Nov 13;157(46):6438-9. PubMed PMID: 7483103.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Richter hernia in trocar site after laparoscopic herniotomy]. AU - Bendsen,A K, AU - Bauer,T, AU - Johansen,T P, PY - 1995/11/13/pubmed PY - 1995/11/13/medline PY - 1995/11/13/entrez SP - 6438 EP - 9 JF - Ugeskrift for laeger JO - Ugeskr. Laeg. VL - 157 IS - 46 N2 - A case of an incarcerated Richter's hernia in a 12-mm trocar site is presented. A 72 year old man underwent laparoscopic herniorrhapy because of a recurrent inguinal hernia. On the sixth postoperative day he developed abdominal pain, nausea, vomiting and abdominal distension. Plain abdominal X-ray showed bowel obstruction. Computed tomography with oral contrast showed herniation of small bowel above the fascia. The patient was immediately reoperated, the intestine was reduced, and the fascial defect at the trocar site closed. Three days later he underwent surgery again due to a small perforation of the small bowel and a persistent fascial defect. The patient had an uneventful postoperative course. Herniation through a trocar site is a rare complication-incarceration extremely rare. We recommend that all fascial defects of 10 mm or more are closed sufficiently. SN - 0041-5782 UR - https://www.unboundmedicine.com/medline/citation/7483103/[Richter_hernia_in_trocar_site_after_laparoscopic_herniotomy]_ L2 - https://medlineplus.gov/intestinalobstruction.html DB - PRIME DP - Unbound Medicine ER -