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Trocar site hernia resulting in intestinal necrosis 48 hours after robot‐assisted radical prostatectomy
oleh: Shoichiro Iwatsuki, Shuzo Hamamoto, Nobuhiko Shimizu, Taku Naiki, Atsushi Okada, Noriyasu Kawai, Keiichi Tozawa, Takahiro Yasui
| Format: | Article |
|---|---|
| Diterbitkan: | Wiley 2021-05-01 |
Deskripsi
Introduction Trocar site hernia is a potentially serious sequela of laparoscopic procedures that may lead to bowel incarceration and strangulation. We report a case of trocar site hernia secondary to robot‐assisted radical prostatectomy. Case presentation A 71‐year‐old Japanese man underwent robot‐assisted radical prostatectomy without any intraoperative events; however, a brief dislodgement of a 12‐mm AIRSEAL® trocar occurred. Forty‐eight hours after the procedure, the patient exhibited coffee ground vomitus. Computed tomography revealed an intestinal prolapse at the 12‐mm AIRSEAL® trocar site. He was diagnosed with a strangulated bowel due to trocar site hernia. Following an emergency exploration, 25 cm of gangrenous intestine was resected, and a functional end‐to‐end anastomosis was performed. Conclusion In this case, brief dislodgement of the AIRSEAL® trocar may have caused severe subcutaneous emphysema and intestinal sucking. In such situations, certain closure of both, the peritoneum and the fascia, is necessary.