Drain-site hernia after laparoscopic rectal resection:A case report and review of literature  

作　　者：Jin Su Cheng Deng Hui-Ming Yin 

机构地区：[1]Department of General Surgery,Zhuzhou Central Hospital,The Affiliated Zhuzhou Hospital of Xiangya Medical College of Central South University,Zhuzhou 412000,Hunan Province,China [2]Division of Science and Education,Zhuzhou Central Hospital,The Affiliated Zhuzhou Hospital of Xiangya Medical College of Central South University,Zhuzhou 412000,Hunan Province,China [3]Department of General Surgery,the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410000,Hunan Province,China

出　　处：《World Journal of Clinical Cases》2022年第8期2637-2643,共7页世界临床病例杂志

基　　金：Supported by the Project of Health Commission of Hunan Province of China;NO. 20201853

摘　　要：BACKGROUND Drain-site hernia(DSH)has an extremely low morbidity and has rarely been reported.Small bowel obstruction is a frequent concurrent condition in most cases of DSH,which commonly occurs at the≥10 mm drain-site.Here we report a rare case of DSH at the lateral 5 mm port site one month postoperatively without visceral incarceration.Simultaneously,a brief review of the literature was conducted focusing on the risk factors,diagnosis,and prevention strategies for DSH.CASE SUMMARY A 76-year-old male patient was admitted to our institution with intermittent abdominal pain and a local abdominal mass which occurred one month after laparoscopic radical resection of rectal cancer one year ago.A computed tomography scan showed an abdominal wall hernia at the 5 mm former drain-site in the left lower quadrant,and that the content consisted of the large omentum.An elective herniorrhaphy was performed by closing the fascial defect and reinforcing the abdominal wall with a synthetic mesh simultaneously.The postoperative period was uneventful.The patient was discharged seven days after the operation without surgery-related complications at the 1-mo follow-up visit.CONCLUSION Emphasis should be placed on DSH despite the decreased use of intra-abdominal drainage.It is recommended that placement of a surgical drainage tube at the≥10 mm trocar site should be avoided.Moreover,it is advisable to have a comprehensive understanding of the risk factors for DSH and complete closure of the fascial defect at the drainage site for high-risk patients.

关 键 词：Drain-site hernia Abdominal hernia Laparoscopic surgery Surgical drainage Risk factor Case report 

分 类 号：R735.37[医药卫生—肿瘤] R656.2[医药卫生—临床医学]