Trocar-site hernia complicated by necrotizing fasciitis - Case report and review of the literature

被引：14

作者：

J. E. Losanoff

B. W. Richman

J. W. Jones

机构：

[1] Department of Surgery, M580 Health Sciences Center, Univ. Missouri-Columbia Sch. of Med., Columbia, MO 65212, One Hospital Drive

来源：

Hernia | 2003年 / 7卷 / 4期

关键词：

Hernia; Laparoscopy; Necrotizing fasciitis; Trocar-site hernia;

D O I：

10.1007/s10029-003-0133-1

中图分类号：

学科分类号：

摘要：

Only a few reports have been published describing necrotizing soft tissue infection (NSTI) following laparoscopic surgery; none identify trocar-site hernia as an etiologic factor. We present a case report and review of the literature. A 43-year-old previously healthy man underwent uneventful laparoscopic cholecystectomy. An unrecognized strangulated lateral trocar-site hernia resulted in fatal NSTI. A Medline database search (1966-2002) identifies ten detailed reports of NSTIs following laparoscopic surgery. Multiple risk factors were identified in almost all patients. The mortality rate was 20%. Patient survival from NSTI requires early recognition, aggressive surgical intervention, and intensive medical care. NSTI can occur following minimally invasive surgery, and physicians should maintain a high index of suspicion when patients begin to develop postoperative symptoms. Trocar-site hernia arises as another etiologic factor for NSTI in the domain of minimally invasive surgery. © Springer-Verlag 2003.

引用

页码：220 / 223

页数：3

共 28 条

[1]

Mittermair R.P., Schobersberger W., Hasibeder W., Allerberger F., Peer R., Bonatti H., Necrotizing fasciitis with Clostridium perfringens after laparoscopic cholecystectomy, Surg Endosc, 16, (2002)

[2]

Sotrel G., Hirsch E., Edelin K.C., Necrotizing fasciitis following diagnostic laparoscopy, Obstet Gynecol, 62, SUPPL., (1983)

[3]

Andze G., Pagbe J.J., Douala Mouteng V., Tchokoteu P.F., Biwole Sida M., Sandjon J.P., Ngonde Sende C., Eteme M., Ekane S.N., Bankole R., Postoperative necrotizing fasciitis in infants. Apropos of a case, J Chir (Paris), 132, pp. 90-93, (1995)

[4]

Mordehai J., Kurzbart E., Cohen Z., Mares A.J., Necrotizing fasciitis and myonecrosis in early childhood: A report of three patients, Pediatr Surg Int, 12, pp. 538-540, (1997)

[5]

Dewire D.M., Bergstein J.M., Carcinoma of the sigmoid colon: An unusual cause of Fournier's gangrene, J Urol, 147, pp. 711-712, (1992)

[6]

Hewitt P.M., Kwong K.H., Lau W.Y., Chung S.C.S., Li A.K.C., Necrotizing fasciitis after laparoscopic surgery, Surg Endosc, 11, pp. 1032-1033, (1997)

[7]

Lallement P.Y., Montagne V., Kaloustian E., Devillers A., Veyssier P., Strangulated obturator hernia with myonecrosis of the thigh, Presse Med, 16, pp. 1201-1202, (1987)

[8]

Allaouchiche B., Thouret J.M., Decaillot F., Gruner L., Barth X., Motin J., Severe myonecrosis following laparoscopy for ovarian surgery, Br J Surg, 81, pp. 1696-1697, (1994)

[9]

Della Torre A., Capelloni M., A necrotizing fasciitis after laparoscopy adhesiolysis. A case report, Minerva Chir, 55, pp. 181-183, (2000)

[10]

Zadrozny D., Sledzinski Z., Small intestine perforation because of capacitive couping as a cause of abdominal wall gas gangrene and clostridial sepsis after laparoscopic cholecystectomy, Surg Laparosc Endosc Percutan Tech, 10, pp. 412-414, (2000)

← 1 2 3 →