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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 June;164(3):235-7
A case of post-laparoscopic incisional hernia
Bergante D., Mainini R., Colombo F.
Ospedale Civico di Piacenza, U.O. Ostetricia Ginecologia, Piacenza
A case of post-laparoscopic incisional hernia carried out for adnexal tumefaction is reported. The incisional hernia appeared 5 days after laparoscopy carried out for right adnexectomy and adhesiolysis. Incisional hernia appeared at the 10 mm left trochar site and it showed clinically with a picture of intestinal occlusion and the appearance of intense pain in the left iliac fossa, biliary vomiting and diarrhoea. A painful tumefaction was detected in correspondence with the iliac fossa at the level of the wound caused by the introduction of the left trochar. Surgery was carried out following a diagnosis of suspected incarcerated hernia and led to resection of the necrotic intestinal loop and laterolateral anastomosis. Although most cases in the literature involve hernias of intestinal loops on the median line and thus in correspondence with the umbilical scar (10 mm trochar), some cases of incisional hernia from the lateral laparoscopic door are also known. In reassessing our procedures, there being no evident risk factors either from the patient history viewpoint or from that of the instruments employed, it is considered that a possible predisposing factor could be the manoeuvres carried out during removal of the cystic mass which might have widened the break at fascia level.