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Robotic Trocar Site Small Bowel Evisceration After Gynecologic Cancer Surgery

Seamon, Leigh G. DO; Backes, Floor MD; Resnick, Kimberly MD; Cohn, David E. MD

doi: 10.1097/AOG.0b013e3181719ba8
Case Reports

BACKGROUND: Trocar site hernia is a known, rare complication after laparoscopic surgery. We describe a case of bowel herniation, evisceration, and bowel obstruction through an 8-mm robotic port site.

CASE: A 67-year-old patient with endometrial cancer underwent an uncomplicated robotic hysterectomy, bilateral salpingo-oophorectomy, and pelvic and aortic lymphadenectomy. Four days later, she presented with symptoms of a small bowel obstruction and was found to have evisceration through a laterally placed 8-mm robotic port site. The bowel was reduced locally and the fascial defect repaired without midline laparotomy or bowel resection.

CONCLUSION: Bowel herniation can occur through the fascial defect after placement of an 8-mm robotic port. Continued reporting is needed to accurately gauge the occurrence of this complication.

Bowel herniation and evisceration through an 8-mm robotic port site is possible.

From the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio.

Corresponding author: David E. Cohn, 320 West 10th Avenue, M-210 Starling Loving Hall, Columbus, OH 43210; e-mail: David.Cohn@osumc.edu.

Financial Disclosure The authors have no potential conflicts of interest to disclose.

© 2008 The American College of Obstetricians and Gynecologists