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KMID : 0978820090120020157
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009 Volume.12 No. 2 p.157 ~ p.159
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Strangulated Small Bowel Herniation Through a 12-mm Trocar Site In an Obese Patient
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Kim Ji-Hoon
Kim Eun-Young
Park Sung-Kyun
Lee In-Kyu
Kim Hyung-Jin
Park Jong-Kyung
Lee Yoon-Suk
Oh Seung-Teak
Kim Jun-Gi
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Abstract
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A trocar site hernia is a rare complication after laparoscopic surgery. Hence, a trocar site that’s larger than 10 mm should be closed to prevent complications. Here we describe a case of strangulated small bowel herniation through a 12 mm-trocar site even though the fascia had been closed. A 78-year-old obese (BMI 30.7 kg/m2) patient with rectal cancer underwent an uncomplicated laparoscopic low anterior resection. On the eighth post-operative day, she presented with a right lower quadrant painful mass, and abdominal CT showed small bowel herniation through the right lower quadrant 12-mm trocar site. In the surgical field, the small bowel was resected via the extended trocar site wound and the fascial defect was repaired.
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KEYWORD
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Trocar site hernia, Obesity, Strangulation
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