A rare case of acute presentation of trocar site hernia from robot-assisted laparoscopic partial nephrectomy
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Trocar site hernia is not a common acute complication encountered after robot-assisted surgery, especially in the urological cohort of patients. A few case reports of small bowel obstruction secondary to incarceration by trocar site hernia have been described in gynaecological surgery and prostatectomies. As the clinical presentation is non-specific, late diagnosis has significant implication on morbidity and mortality. Here, we present a rare case of a patient with recent robot-assisted laparoscopic partial nephrectomy for a renal cell carcinoma presented with features of impending bowel obstruction secondary to incarcerated small bowel in the trocar site. We also reviewed the literature focusing on clinical features of trocar site hernia and preventive measures.
KeywordsTrocar Hernia Robot assisted Bowel obstruction Nephrectomy
Zi Qin NG designed the study, collected and analyzed the data, drafted the article and approved the final version of the article to be published. Richard PEMBERTON analyzed the data, critically reviewed the article and approved the final version of the article to be published. Patrick TAN co-designed the study, analyzed the data, critically reviewed the article, supervised the study and approved the final version of the article to be published.
Compliance with ethical standards
Conflict of interest
Authors ZN, RB and PT declare that they have no conflict of interest.
Statement of ethics
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975. Informed consent was obtained from the patient for being included in the study.
Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.