{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:51Z","timestamp":1753877091584,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Trocar-site hernia is an uncommon complication of laparoscopic surgery and can be classified as early-onset, late-onset or special type. Special type hernias usually occur in the early postoperative period and result in evisceration of intra-abdominal contents through all layers of the abdominal wall without an overlying hernia sac. We present a case of special type herniation of the appendix through a 5-mm trocar site in the right iliac fossa following laparoscopic repair of a perforated duodenal ulcer. In this case, herniation occurred after removal of a drain inserted through the trocar site intraoperatively and was treated with emergent open appendicectomy. A number of patient and technical factors may be associated with an increased risk of trocar-site herniation including increasing age, elevated body mass index, increasing trocar size, longer procedure duration and absence of fascial closure. These factors must be borne in mind when planning trocar placement and number to reduce the risk of herniation.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa376","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T04:53:49Z","timestamp":1597726429000},"source":"Crossref","is-referenced-by-count":2,"title":["Special type trocar-site hernia with evisceration of the appendix following laparoscopic repair of a perforated duodenal ulcer"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3224-3050","authenticated-orcid":false,"given":"Jim","family":"Byrne","sequence":"first","affiliation":[{"name":"Department of General Surgery, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D","family":"Kehoe","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Yasser","family":"Kayyal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Cork University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"2020093009144790300_ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s10029-010-0757-x","article-title":"Trocar site hernia after laparoscopic surgery: a qualitative systematic review","volume":"15","author":"Helgstrand","year":"2011","journal-title":"Hernia"},{"key":"2020093009144790300_ref2","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1001\/archsurg.139.11.1248","article-title":"Trocar site hernia","volume":"139","author":"Tonouchi","year":"2004","journal-title":"Arch Surg"},{"key":"2020093009144790300_ref3","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1159\/000051960","article-title":"Herniation of the small bowel through the port site following removal of drains during laparoscopic surgery","volume":"17","author":"Komuta","year":"2000","journal-title":"Dig Surg"},{"key":"2020093009144790300_ref4","first-page":"40","article-title":"Port-site herniation of the appendix \u2013 an unusual complication of laparoscopic surgery","volume":"5","author":"Shaban","year":"2011","journal-title":"Darlington Co Durham Med"},{"key":"2020093009144790300_ref5","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.ijscr.2017.01.066","article-title":"Trocar-site evisceration of the vermiform appendix following laparoscopic sigmoid colectomy: a case report","volume":"31","author":"Bhangu","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2020093009144790300_ref6","doi-asserted-by":"crossref","first-page":"2868","DOI":"10.1038\/s41598-020-59721-w","article-title":"Characteristics of trocar site hernia after laparoscopic cholecystectomy","volume":"10","author":"Nofal","year":"2020","journal-title":"Sci Rep"},{"key":"2020093009144790300_ref7","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1089\/lap.2006.0182","article-title":"Trocar site hernia after laparoscopic cholecystectomy","volume":"17","author":"Uslu","year":"2007","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2020093009144790300_ref8","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.surge.2011.01.003","article-title":"A systematic review of laparoscopic port site hernias in gastrointestinal surgery","volume":"9","author":"Owens","year":"2011","journal-title":"Surgeon"},{"key":"2020093009144790300_ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10029-015-1371-8","article-title":"Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomised controlled trials","volume":"20","author":"Antoniou","year":"2016","journal-title":"Hernia"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/9\/rjaa376\/33805968\/rjaa376.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/9\/rjaa376\/33805968\/rjaa376.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T13:15:32Z","timestamp":1601471732000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa376\/5913307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa376","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,9]]},"published":{"date-parts":[[2020,9,1]]},"article-number":"rjaa376"}}