A 5-mm trocar site paramedian early onset voluminous hernia: still in doubt?
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With the increasing number of laparoscopies in abdominal surgery, more incisional trocar site hernias (ITH) are observed. Tonouchi et al. have classified trocar-site hernias into three types: early onset, late onset and special . In most cases, the ITH had an early onset, occurring within the first week along with intestinal obstruction caused by ileal loop incarceration (Richter’s hernia).
The case presented herein is of a 5-mm early onset ITH. The patient after a laparoscopic total hysterectomy with bilateral annessiectomy and peritoneal biopsies for an ovarian mucinous tumor of 14 cm was discharged on the third postoperative day. At the tenth postoperative day, she arrived at the emergency department, with pain in the left side, in which was observed an ITH of the small intestine with hemorrhagic infarction due to venous congestion. The patient was afebrile, without nausea and vomiting. Laboratory parameters were normal, except value of C-reactive protein, that...
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The authors declare that they have no conflict of interest.
Research involving human participants and/or animals
All procedures performed in our study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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