8-mm portal incarcerated hernia after robotic colectomy: case report

Abstract

Objective: The objective of this work is to report a hernia derived from the access portal used in robotic surgery. Details of the case: A 72-year-old woman, diagnosed with splenic angle adenocarcinoma of the colon, underwent robotic left colectomy and lymphadenectomy. On the 12th postoperative day, she developed vomiting and interrupted the elimination of feces and flatus. Computed tomography revealed hernia on the left flank with an 8 mm orifice with intestinal contents. Incisional herniorrhaphy was performed to correct the defect. PSH are associated with patient risk factors. They are also related to the diameter of the trocar and its place of passage. For its prevention, it is important to assess the need to close the aponeurosis according to each case. Final considerations: The disturbances created by the passage of 12 mm and 10 mm trocars must be closed. Those created by 5 mm trocars do not need to be closed, and those of 8 mm may or may not be closed, depending on the risk factors involved.