port-site hernia
A postoperative complication where abdominal contents herniate through trocar insertion sites following laparoscopic surgery.
Full Definition
Port-site hernia is a delayed complication of laparoscopic surgery where abdominal wall defects at trocar sites fail to heal properly, allowing herniation of intraabdominal contents. This complication is more common with larger trocars (≥10mm), inadequate fascial closure, or predisposing factors such as obesity, infection, or patient factors affecting wound healing. Prevention involves proper fascial closure techniques for ports ≥10mm and careful patient selection. Port-site hernias may present weeks to months after surgery and often require surgical repair. The incidence varies but is generally reported as 0.5-2% of laparoscopic procedures.
Usage
Usage note: Use hyphenated form 'port-site' as compound modifier.
In Context
- "The patient developed a port-site hernia at the 12mm umbilical trocar site six weeks postoperatively." — Postoperative complication note
- "Prevention of port-site hernias requires meticulous fascial closure of all ports ≥10mm in diameter." — Surgical technique guidelines