Epigastrium: unusual site of incisional hernia from a 5 mm trocar


COD: 2707_12_06_2017_EP Categorie: , ,

Antonino Buffone, Salvatore Lo Bianco, Dario Cavallaro, Pietro Caglià, Guido Basile
Matteo Angelo Cannizzaro

Ann Ital Chir, Digital Edition 2018, 7
Epub, June 12

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The observation of an unusual case of incisional hernia, found in the epigastric zone at the site of a 5 mm trocar incision
for a cholecystectomy, has caused us to describe it and to review the literature.
C.A. is a male aged 59 and He came to our attention in 2014, complaining about the presence, for about three months,
a swelling in the epigastric area, without occlusive symptoms. An objective examination showed an epigastric mass at the
scar of the insertion site of a 5mm trocar during the cholecystectomy operation. The patient was hospitalized and underwent
traditional surgery: incision at the scar; isolation of the extruded fatty tissue, which had no sac, identified as part
of the round ligament, herniated through the residual incision of the previous operation. Based on experience acquired
it is useful to make careful sutures of 5 mm incisions repairing peritoneal laceration.