Suture or not to Suture ? Trocar-Site Bowel Herniation as a Rare Complication after Trocar Placement in Laparoscopic Surgery : Case Report and Review

Laparoscopic surgery became gold standard procedure in numerous indications but despite of minimal invasiveness it could result in added complications specific to the laparoscopic approach. In this study, we present the case of 63 year-old patient who underwent a total laparoscopic hysterectomy with adnexa for preinvasive cervical cancer complicated by the occurrence of small bowel herniation at the 5-mm trocar site. Trocar Site Hernia (TSH) is rare but potentially dangerous complication which can be asymptomatic or requires emergency surgery. It should always be included in the different diagnosis of bowel obstruction when the patients complain of gastrointestinal symptoms after laparoscopy. In this case, patient required relaparotomy which confirmed the diagnosis.