port site hernia
A hernia that develops at the location of laparoscopic trocar insertion sites following minimally invasive bariatric surgery.
Full Definition
Port site hernias are incisional hernias that occur at the fascial defects created by trocar placement during laparoscopic bariatric procedures. These hernias can develop weeks to years after surgery and are more common at larger port sites (≥12mm) and umbilical ports. Risk factors include obesity, poor wound healing, and increased intra-abdominal pressure. While most port site hernias are asymptomatic, they can cause pain, bowel obstruction, or strangulation requiring emergency surgery. Prevention involves proper fascial closure of port sites ≥10mm and avoiding excessive manipulation during surgery.
In Context
- "CT imaging demonstrated a 2cm port site hernia at the left lateral trocar insertion with no signs of bowel obstruction." — radiology report
- "The patient developed symptomatic port site hernia requiring mesh repair six months after laparoscopic sleeve gastrectomy." — surgical consultation