Open AccessTrocar site hernia resulting in intestinal necrosis 48 hours after robot‐assisted radical prostatectomy
Author(s) -
Iwatsuki Shoichiro,
Hamamoto Shuzo,
Shimizu Nobuhiko,
Naiki Taku,
Okada Atsushi,
Kawai Noriyasu,
Tozawa Keiichi,
Yasui Takahiro
Publication year - 2021
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12277
Subject(s) - medicine , surgery , hernia , prostatectomy , anastomosis , fascia , sequela , presentation (obstetrics) , general surgery , cancer , prostate cancer
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.