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Incisional hernia in a 5-mm trocar site following pediatric laparoscopy.
J Laparoendosc Surg. 1996 Mar; 6 Suppl 1:S89-90.JL

Abstract

Incisional hernias through laparoscopic trocar sites are unusual complications of laparoscopy. When hernias do occur they are generally through trocar sites 10 mm or greater in size. To prevent hernias, laparoscopic incisions are usually closed at the fascial level. Five-mm trocar sites are usually closed only at the subcutaneous level because of the difficulty of exposing the fascia through the small skin incision and the rarity of herniation through these trocar sites. This is a report of a 22-month, 13.5-kg child who underwent laparoscopic Toupet fundoplication for gastroesophageal reflux. Postoperatively he developed a small bowel obstruction secondary to a Richter's hernia from small bowel incarceration in a 5-mm left lower quadrant trocar site. The reason for the incarceration was the small size of the infant bowel. It has a proportional size relationship to a 5-mm trocar as does adult bowel to a 10-mm trocar; 5-mm trocar sites should be closed at the fascial level in infants to prevent this complication.

Authors+Show Affiliations

Division of Pediatric Surgery, Children's Hospital and Medical Center, University of Washington, Seattle, Washington, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8832935

Citation

Waldhaussen, J H.. "Incisional Hernia in a 5-mm Trocar Site Following Pediatric Laparoscopy." Journal of Laparoendoscopic Surgery, vol. 6 Suppl 1, 1996, pp. S89-90.
Waldhaussen JH. Incisional hernia in a 5-mm trocar site following pediatric laparoscopy. J Laparoendosc Surg. 1996;6 Suppl 1:S89-90.
Waldhaussen, J. H. (1996). Incisional hernia in a 5-mm trocar site following pediatric laparoscopy. Journal of Laparoendoscopic Surgery, 6 Suppl 1, S89-90.
Waldhaussen JH. Incisional Hernia in a 5-mm Trocar Site Following Pediatric Laparoscopy. J Laparoendosc Surg. 1996;6 Suppl 1:S89-90. PubMed PMID: 8832935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incisional hernia in a 5-mm trocar site following pediatric laparoscopy. A1 - Waldhaussen,J H, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - S89 EP - 90 JF - Journal of laparoendoscopic surgery JO - J Laparoendosc Surg VL - 6 Suppl 1 N2 - Incisional hernias through laparoscopic trocar sites are unusual complications of laparoscopy. When hernias do occur they are generally through trocar sites 10 mm or greater in size. To prevent hernias, laparoscopic incisions are usually closed at the fascial level. Five-mm trocar sites are usually closed only at the subcutaneous level because of the difficulty of exposing the fascia through the small skin incision and the rarity of herniation through these trocar sites. This is a report of a 22-month, 13.5-kg child who underwent laparoscopic Toupet fundoplication for gastroesophageal reflux. Postoperatively he developed a small bowel obstruction secondary to a Richter's hernia from small bowel incarceration in a 5-mm left lower quadrant trocar site. The reason for the incarceration was the small size of the infant bowel. It has a proportional size relationship to a 5-mm trocar as does adult bowel to a 10-mm trocar; 5-mm trocar sites should be closed at the fascial level in infants to prevent this complication. SN - 1052-3901 UR - https://www.unboundmedicine.com/medline/citation/8832935/Incisional_hernia_in_a_5_mm_trocar_site_following_pediatric_laparoscopy_ L2 - https://medlineplus.gov/gerd.html DB - PRIME DP - Unbound Medicine ER -