fascial defect
An opening or weakness in the fascial layer that may lead to hernia formation at trocar insertion sites.
Full Definition
A fascial defect refers to an unintended gap or failure in the fascial closure at laparoscopic port sites, particularly those 10mm or larger in diameter. These defects can occur due to inadequate closure technique, tissue necrosis from electrocautery, or tension on the fascia during surgery. Fascial defects are a primary cause of port-site hernias, where intra-abdominal contents protrude through the weakened area. Prevention involves proper fascial closure techniques, appropriate suture material selection, and careful attention to port placement and removal. Recognition of fascial defects during surgery allows for immediate repair.
Usage
Usage note: Always hyphenate when used as compound adjective (fascial-defect repair).
In Context
- "The 12mm port site showed a small fascial defect requiring repair with figure-of-eight sutures." — Operative report
- "All fascial defects greater than 10mm were closed under direct visualization." — Closure technique description