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  • Title: Strangulated incisional hernia at trocar site.
    Author: Jones DB, Callery MP, Soper NJ.
    Journal: Surg Laparosc Endosc; 1996 Apr; 6(2):152-4. PubMed ID: 8680641.
    Abstract:
    An incisional hernia at a trocar site after laparoscopy may arise from infection, premature suture disruption, or failure to adequately reapproximate fascial wound edges. The condition is accurately diagnosed postoperatively on physical examination, and a bulge at a previous port site should immediately raise suspicion. A case is reported in which an incisional hernia strangulated soon after an elective laparoscopic inguinal herniorrhaphy in which, the fascia of the 10-mm trocar site was not closed. This report underscores the importance of meticulous closure of all abdominal port sites > 5 mm. Furthermore, early diagnosis of an incarcerated hernia may avoid the morbidity of an extensive intestinal resection.
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