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SMALL BOWEL OBSTRUCTION IN TROCAR SITE HERNIA. CASE REPORT AND LITERATURE REVIEW

The laparoscopic surgery became one of the biggest events of the modern surgery. Despite of all advantages this surgery presents new, other type complications which require special attention and different surgical approach. For the first time trocar site hernia was described from Fear in 1968 as a complication of diagnostic laparoscopy due pathology for gynecological origin. In 2004 Tonouchi invented a classification of trocar site hernias. New techniques are developed to avoid this complication. We present a case of a female patient admitted in our department with following complaints: heaviness and pain in the abdomen, nausea, and vomiting lack of peristalsis and defecation. Couple of days ago she underwent laparoscopic myomectomy in another hospital. The imaging findings showed intestinal obstruction and incarcerated small intestinal loop incisional hernia at the topic place of the left trocar. Intraoperative findings were strangulated jejunal loop with impaired blood supply. Resection followed by primary anastomosis was performed.