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

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