Trocar site spigelian-type hernia after robot-assisted laparoscopic prostatectomy.

A 71-year-old man with unilateral, Gleason score 7 (3 + 4), clinical Stage T1c prostate adenocarcinoma underwent bilateral nerve-sparing robot-assisted laparoscopic prostatectomy. On postoperative day 13, he developed a small bowel obstruction owing to incarceration of a spigelian hernia in the right lower-quadrant 8-mm trocar site. Surgical repair required small bowel resection and primary enteroenterostomy.