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LAPAROSKOPİK KOLESİSTEKTOMİ SONRASI TROKAR YERİ HERNİSİ

Year 2012, Volume: 13 Issue: 2, 35 - 37, 01.08.2012

Abstract

Trokar yeri herniasyonu çok çeşitli klinik tablolara yol açması ve postoperatif süreçte herhangi bir zamanda ortaya çıkabilmesi nedeniyle tanı konulması zor olabilen bir klinik durumdur. Trokar çapı, trokar dizaynı, önceden var olan fasya defektleri, port insersiyonunun yönü, portun uygulandığı yer ayrıca diabetes mellitus, obezite ve yaş gibi hastaya ait faktörler trokar yeri herniasyonu gelişimini önemli oranda etkilemektedir. Laparaskopik girişimler sonrası trokar yeri herniasyonuna bağlı postoperatif mekanik barsak tıkanıklığı gelişen hastalarda erken tanı ve tedavi hayat kurtarıcıdır. Bu çalışmada polikliniğimize dispeptik şikayetler ile başvurup kolelitiazis teşhisi konularak elektif laparoskopik kolesistektomi uygulanan altmışaltı yaşındaki kadın hastada erken dönemde gelişen trokar yeri herniasyonu olgusu sunulmaktadır

References

  • Crist DW, Gadacz TR. Complications of laparoscopic surgery. Surg Clin North Am 1993;73:265-89.
  • Callery MP, Strasberg SM, Soper NJ. Complications of laparoscopic general surgery. Gastrointest Endosc Clin N Am 1996; 6:423-44.
  • Lee JH, Kim W. Strangulated small bowel hernia through the port site. A case report. World J Gastroenterol 2008; 14:6881-3.
  • Rosen M, Ponsky J. Minimally invasive surgery. Endoscopy 2001;33:358-66.
  • Duron JJ, Hay JM, Msika S, Gaschard D, Domergue J, Gainant A, Fingerhut A. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. Arch Surg 2000;135:208-12.
  • Maio A, Ruchman RB. CT diagnosis of post laparoscopic hernia. J Comput Assist Tomogr ;15:1054-5.
  • Azurin DJ, Go LS, Arroyo LR, Kirkland ML. Trocar s i t e h e r n i a t i o n f o l l o w i n g l a p a r o s c o p i c cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am Surg 1995;61:718
  • Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg 2004;139:1248-56.
  • Hussain A, Mahmood H, Shuaib S, El-Hasani S. Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. JSLS 2008;12:206- zamanda karşımıza çıkabilmektedir . Bizim olgumuzda trokar yeri herniasyonu, laparoskopik kolesistektomi ameliyatından sonraki postoperatif ikinci günde gelişti. Trokar yeri herniasyonu kliniğindeki semptomların şiddeti herniasyona intestinal iştirak ile ilişkilidir. Hastalardaki semptomlar genellikle müphem bir karın ağrısı, bulantı, kusma, trokar yeri çevresinde palpabl veya
  • Montz FJ, Holschneider CH, Munro MG. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994;84:881-4.
  • Kadar N, Reich H, Liu CY, Manko GF, Gimpelson R. Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 1993; :1493-5. Eser ve Ark.
  • Uslu HY, Erkek AB, Cakmak A, Kepenekci I, Sozener U, Kocaay FA, Turkcapar AG, Kuterdem E. Trocar site hernia after laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 2007;17:600-3.
  • Velasco JM, Vallina VL, Bonomo SR, Hieken TJ. Post laparoscopic small bowel obstruction: rethinking its management. Surg Endosc 1998;12:1043-5. YAZIŞMA ADRESİ Dr Metin ESER
  • Ankara Atatürk Egitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, ANKARA, TÜRKİYE E-Posta : metin.eser.01@gmail.com Geliş Tarihi Kabul Tarihi : 09.09.2011

Trocar Site Herniation after Laparoscpic Cholesystectomy

Year 2012, Volume: 13 Issue: 2, 35 - 37, 01.08.2012

Abstract

Trocar site hernia is a clinical manifestation which leads to variety of clinical pictures and which is difficult to diagnose since it may occur at any time in postoperative period.Patient-related factors such as diabetes mellitus, obesity and age beside the trocar diameter and design, pre-existing fascial defects, direction of port insertion and the site of the port significantly affect the development of trocar site herniation. Early diagnosis and treatment are life-saving for patients who experience intestinal obstruction due to trocar site herniation after laparascopic interventions. This study is about a sixty-six years old female patient who had early-onset trocar site herniation after she applied to our clinic with dyspeptic complaints and underwent elective laparoscopic cholecystectomy after cholelithiasis diagnosis.

References

  • Crist DW, Gadacz TR. Complications of laparoscopic surgery. Surg Clin North Am 1993;73:265-89.
  • Callery MP, Strasberg SM, Soper NJ. Complications of laparoscopic general surgery. Gastrointest Endosc Clin N Am 1996; 6:423-44.
  • Lee JH, Kim W. Strangulated small bowel hernia through the port site. A case report. World J Gastroenterol 2008; 14:6881-3.
  • Rosen M, Ponsky J. Minimally invasive surgery. Endoscopy 2001;33:358-66.
  • Duron JJ, Hay JM, Msika S, Gaschard D, Domergue J, Gainant A, Fingerhut A. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. Arch Surg 2000;135:208-12.
  • Maio A, Ruchman RB. CT diagnosis of post laparoscopic hernia. J Comput Assist Tomogr ;15:1054-5.
  • Azurin DJ, Go LS, Arroyo LR, Kirkland ML. Trocar s i t e h e r n i a t i o n f o l l o w i n g l a p a r o s c o p i c cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am Surg 1995;61:718
  • Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg 2004;139:1248-56.
  • Hussain A, Mahmood H, Shuaib S, El-Hasani S. Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. JSLS 2008;12:206- zamanda karşımıza çıkabilmektedir . Bizim olgumuzda trokar yeri herniasyonu, laparoskopik kolesistektomi ameliyatından sonraki postoperatif ikinci günde gelişti. Trokar yeri herniasyonu kliniğindeki semptomların şiddeti herniasyona intestinal iştirak ile ilişkilidir. Hastalardaki semptomlar genellikle müphem bir karın ağrısı, bulantı, kusma, trokar yeri çevresinde palpabl veya
  • Montz FJ, Holschneider CH, Munro MG. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994;84:881-4.
  • Kadar N, Reich H, Liu CY, Manko GF, Gimpelson R. Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 1993; :1493-5. Eser ve Ark.
  • Uslu HY, Erkek AB, Cakmak A, Kepenekci I, Sozener U, Kocaay FA, Turkcapar AG, Kuterdem E. Trocar site hernia after laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 2007;17:600-3.
  • Velasco JM, Vallina VL, Bonomo SR, Hieken TJ. Post laparoscopic small bowel obstruction: rethinking its management. Surg Endosc 1998;12:1043-5. YAZIŞMA ADRESİ Dr Metin ESER
  • Ankara Atatürk Egitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, ANKARA, TÜRKİYE E-Posta : metin.eser.01@gmail.com Geliş Tarihi Kabul Tarihi : 09.09.2011
There are 14 citations in total.

Details

Other ID JA72FM93EA
Journal Section Research Article
Authors

Metin Eser This is me

Ahmet Gürer This is me

Mesut Özdedeoğlu This is me

Gülten Kıyak This is me

Publication Date August 1, 2012
Published in Issue Year 2012 Volume: 13 Issue: 2

Cite

EndNote Eser M, Gürer A, Özdedeoğlu M, Kıyak G (August 1, 2012) Trocar Site Herniation after Laparoscpic Cholesystectomy. Meandros Medical And Dental Journal 13 2 35–37.