INCARCERATED TROCAR-WOUND HERNIA AFTER LAPAROSCOPIC HYSTERECTOMY - ISCLOSURE OF LARGE TROCAR FASCIA DEFECTS AFTER LAPAROSCOPY NECESSARY

An incarcerated hernia through a 12-mm laparoscopic trocar wound, caus ing small bowel sub-obstruction, was diagnosed in a 50-year-old female patient following a laparoscopic hysterectomy 1 month earlier. Trocar -wound hernias causing early postoperative bowel obstruction are very rare. Insertion of trocars at a narrow angle to the abdominal wall may cause larger fascia defects than the actual size of the trocar. Manua l examination and closure of large defects, if possible, may prevent s uch complications.