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J Chin Med Assoc ; 77(2): 112-4, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24225280

RESUMO

The increasing use of laparoscopy has resulted in added complications specific to the laparoscopic approach, such as trocar site hernia (TSH), which is an uncommon but well-recognized problem for both regular laparoscopic and robotic-assisted laparoscopic procedures. We describe an extremely rare case of TSH at an 8-mm port site occurring a relatively short time after surgery in a 53-year-old patient undergoing robotic-assisted laparoscopic hysterectomy for benign reasons. Additionally, this report attempts to explain the possible etiological factors relating to TSH following robotic-assisted surgery. According to our case report, a defect in the 8-mm port that may lead to hernia is one possible explanation, and closure of the 8-mm trocar sites' fascia may be a safer approach during robotic-assisted surgery. Additional reports are needed to accurately determine the frequency of occurrence and importance of this complication.


Assuntos
Hérnia Ventral/etiologia , Histerectomia , Laparoscopia/efeitos adversos , Robótica , Feminino , Humanos , Laparoscopia/instrumentação , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Robótica/instrumentação , Instrumentos Cirúrgicos
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