Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy
Introduction Postoperative small bowel obstruction is a rare complication. One of its less frequent causes is port site hernia. We report a case of Richter's port site hernia in a patient who underwent robot‐assisted radical prostatectomy. Case presentation A 73‐year‐old man who underwent robot...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-11-01
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| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12526 |
| _version_ | 1811194087041138688 |
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| author | Taisuke Tobe Keiji Yuen Tomihiko Yasufuku Riku Uematsu Akira Miyazaki Masuo Yamashita |
| author_facet | Taisuke Tobe Keiji Yuen Tomihiko Yasufuku Riku Uematsu Akira Miyazaki Masuo Yamashita |
| author_sort | Taisuke Tobe |
| collection | DOAJ |
| description | Introduction Postoperative small bowel obstruction is a rare complication. One of its less frequent causes is port site hernia. We report a case of Richter's port site hernia in a patient who underwent robot‐assisted radical prostatectomy. Case presentation A 73‐year‐old man who underwent robot‐assisted radical prostatectomy noted acute abdominal pain and nausea on the 11th postoperative day. Computed tomography scans revealed dilated small bowel loops. Adhesive ileus was initially suspected, which was relieved with conservative management, including ileus tube insertion. However, his symptoms worsened. Thus, a laparotomy was performed. The camera port wound was reopened, and the repaired fascia and small intestine were found incarcerated into the peritoneal defects. These findings were consistent with Richter's hernia. Conclusion Port site hernia was not detected on computed tomography scans. Patients presenting with small bowel obstruction following laparoscopic surgery should be evaluated for port site hernia, and surgical management should be considered. |
| first_indexed | 2024-04-12T00:20:16Z |
| format | Article |
| id | doaj.art-7940fe66f79445ffbd8d21449de52340 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-04-12T00:20:16Z |
| publishDate | 2022-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-7940fe66f79445ffbd8d21449de523402022-12-22T03:55:44ZengWileyIJU Case Reports2577-171X2022-11-015650150410.1002/iju5.12526Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomyTaisuke Tobe0Keiji Yuen1Tomihiko Yasufuku2Riku Uematsu3Akira Miyazaki4Masuo Yamashita5Department of Urology Shiko Hospital Kobe JapanDepartment of Urology Shiko Hospital Kobe JapanDepartment of Urology Hyogo cancer center Akashi JapanDepartment of Urology Shiko Hospital Kobe JapanDepartment of Urology Shiko Hospital Kobe JapanDepartment of Urology Shiko Hospital Kobe JapanIntroduction Postoperative small bowel obstruction is a rare complication. One of its less frequent causes is port site hernia. We report a case of Richter's port site hernia in a patient who underwent robot‐assisted radical prostatectomy. Case presentation A 73‐year‐old man who underwent robot‐assisted radical prostatectomy noted acute abdominal pain and nausea on the 11th postoperative day. Computed tomography scans revealed dilated small bowel loops. Adhesive ileus was initially suspected, which was relieved with conservative management, including ileus tube insertion. However, his symptoms worsened. Thus, a laparotomy was performed. The camera port wound was reopened, and the repaired fascia and small intestine were found incarcerated into the peritoneal defects. These findings were consistent with Richter's hernia. Conclusion Port site hernia was not detected on computed tomography scans. Patients presenting with small bowel obstruction following laparoscopic surgery should be evaluated for port site hernia, and surgical management should be considered.https://doi.org/10.1002/iju5.12526incisional herniapostoperative complicationsprostate cancerrobotic surgical procedures |
| spellingShingle | Taisuke Tobe Keiji Yuen Tomihiko Yasufuku Riku Uematsu Akira Miyazaki Masuo Yamashita Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy IJU Case Reports incisional hernia postoperative complications prostate cancer robotic surgical procedures |
| title | Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy |
| title_full | Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy |
| title_fullStr | Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy |
| title_full_unstemmed | Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy |
| title_short | Laparoscopic port site Richter's hernia after robot‐assisted radical prostatectomy |
| title_sort | laparoscopic port site richter s hernia after robot assisted radical prostatectomy |
| topic | incisional hernia postoperative complications prostate cancer robotic surgical procedures |
| url | https://doi.org/10.1002/iju5.12526 |
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