Omental herniation through an 11-mm umbilical incision occurred 36 hou
rs after operative laparoscopy. It was attributed to large amounts of
residual irrigation fluid in the abdominopelvic cavity and failure to
close the fascia of the umbilical incision. This case stresses the imp
ortance of closing the fascia of larger laparoscopic incisions, especi
ally if irrigation fluid is left in the abdominal cavity postoperative
ly.