DOI: 10.36347/sasjs

Pages: 101-104

The field of surgery has been revolutionised with the introduction of laparoscopy. Though it is widely accepted and practised it is not devoid of complications. One such rare complication is port site hernia. We report the case of a 36-year old woman who underwent emergency explorative laparotomy on 13th postoperative day after laparoscopic ovarian cystectomy. Surgery showed a small bowel herniation through the 12mm trocar incision site at umbilicus which was adherent, viable and had to be released, and then hernia orifice repaired. Trocar Site Hernia(TSH) can present in immediate postoperative period or later. Symptoms depend on whether hernia contains omentum or bowel and an emergency surgical approach is often required. It is necessary to repair the fascial and peritoneal layers to prevent port site hernia. High index of suspicion, prompt investigation and early intervention may reduce unfavorable events.