Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2020; 8(24): 6504-6510
Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6504
Rare case of drain-site hernia after laparoscopic surgery and a novel strategy of prevention: A case report
Xiang Gao, Qun Chen, Cun Wang, Yong-Yang Yu, Lie Yang, Zong-Guang Zhou
Xiang Gao, Cun Wang, Yong-Yang Yu, Lie Yang, Zong-Guang Zhou, Institute of Digestive Surgery, Sichuan University, Department of Gastrointestinal Surgery, West China Hospital, West China School of Medicine, Sichuan University, Chengdu 610041, Sichuan Province, China
Qun Chen, Department of Central Transportation, West China School of Nursing, Sichuan University, Chendu 610041, Sichuan Province, China
Author contributions: Gao X and Chen Q contributed equally to this work; Gao X, Chen Q, and Yang L conceived and designed the study and acquired and interpreted the data; Gao X, Chen Q, Wang C, and Yu YY drafted the article; Yang L and Zhou ZG revised the article for important intellectual content; All authors gave final approval of the version to be published.
Supported by National Key Research and Development Program of China, No. 2016YFC0906000.
Informed consent statement: Written informed consent was obtained from the patient and her daughter to publish the details of her case and accompanying images.
Conflict-of-interest statement: The authors have no funding and conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zong-Guang Zhou, FACS, Director, Institute of Digestive Surgery, Sichuan University, Department of Gastrointestinal Surgery, West China Hospital, West China School of Medicine, Sichuan University, No. 37 Guoxue Xiang, Chengdu 610041, Sichuan Province, China. zhou767@163.com
Received: September 20, 2020
Peer-review started: September 20, 2020
First decision: September 29, 2020
Revised: October 14, 2020
Accepted: November 2, 2020
Article in press: November 2, 2020
Published online: December 26, 2020
Core Tip

Core Tip: Trocar site hernia (TSH) is a rare but potentially dangerous complication of laparoscopic surgery, and drain-site TSH is an even rarer type. In clinical practice, fascial-muscular and peritoneal defects at the drain-site are often left open to allow the drain to pass through, which facilitates the formation of a drain-site TSH. We present a rare case of a drain-site strangulated TSH at the lateral 10 mm port site soon after the removal of the intraperitoneal drainage tube following laparoscopic subtotal hysterectomy and bilateral adnexectomy. Finally, we provide a new, practical, and simple method of prevention.