Incarcerated hernia after laparoscopic-assisted vaginal hysterectomy: a cautionary tale

Objective To report a case of an incarcerated hernia after laparoscopic surgery. To review the literature in order to discuss the risk factors for and prevention of incarcerated hernias at laparoscopic trocar wounds. Case report The patient developed an incarcerated hernia through a 12-mm laparoscopic trocar wound and small bowel obstruction following a laparoscopic-assisted vaginal hysterectomy. She required a laparotomy to reduce the hernia. Conclusion Small bowel herniation following laparoscopic surgery is rare. As laparoscopic operations become more complicated, the risk of bowel herniation also increases. Awareness of this condition may prompt prevention, earlier diagnosis and treatment.