How can hernia develop through the tiny hole made during laparoscopy?
Incisional bowel herniation is a complication of operative laparoscopy. Herniations occur through ports 10 mm in size at both umbilical and extraumbilical sites if not closed properly after operation. Surgeons should recognize the importance of closing fascia at these larger port sites and should maintain a high degree of suspicion in any patient who has a slow recovery with intermittent nausea and vomiting after an operative procedure. The underlying fascia and peritoneum should be closed not only when using trocars of 10mm and larger as previously suggested but also when extensive manipulation is performed through a 5mm trocar port, causing extension of the incision.
