INCISIONAL HERNIA AFTER OPERATIVE LAPAROS COPY - A CASE OF ROUND LIGAMENT INCARCERATION AND REVIEW OF THE LITERATURE

The authors report a case of incisonal hernia occurring 5 years after laparoscopic treatment of extra-uterine pregnancy. This involved incar ceration of the hepatic suspensor ligament during insertion of a 10 mm ombilical trocard. Laparoscopy permitted diagnosis and treatment of t he hernia. Parietal complications after laparoscopy usually concern ep igastric vascular lesions, infections at trocard sites, and residual a bdominal wall pain. Incisonal umbilical and extra-umbilical hernias, d escribed for the first time in 1968, are highly unusual complications, with an incidence of 21/100 000 in the Mintz study. The hernia sac us uary contains omentum or small intestin. The present observation alems to be the first case of incarceration of the hepatic suspensor ligame nt in an umbilical trocard. This observation is remarkable not only fo r the hernia sac contents but also for the delay between laparoscopy a nd the occurence of the umbilical hernia.