Needlescopic herniorrhaphy using one umbilical 5-mm trocar and two lateral 3-mm trocars: A case series

Postoperative Bowel Herniation in a 5-mm Nonbladed Trocar Site

BACKGROUND Incisional hernias are a rare complication of laparoscopic surgery, with a reported incidence of <1%. CASE REPORT We describe a case of bowel herniation and strangulation involving a 5-mm trocar site. CONCLUSION Although there is growing literature supporting fascial closure of abdominal port sizes ≥ 10 mm, there is sparse data to suggest closure of 5-mm port sites. Our case illu...

Laparoscopic 5-mm Trocar Site Herniation and Literature Review

OBJECTIVE To evaluate the evidence for fascial closure of 5-mm laparoscopic trocar sites. METHODS We conducted electronic database searches of PubMed and the Cochrane Library for articles published between November 2008 and December 2010. We used the keywords trocar hernia, trocar-site hernia, laparoscopic hernia, trocar port-site hernia, laparoscopic port-site hernia. Prospective and retrosp...

Low-Friction Minilaparoscopy Outperforms Regular 5-mm and 3-mm Instruments for Precise Tasks

BACKGROUND AND OBJECTIVES Therapeutic laparoscopy was incorporated into surgical practice more than 25 y ago. Several modifications have since been developed to further minimize surgical trauma and improve results. Minilaparoscopy, performed with 2- to 3-mm instruments was introduced in the mid 1990s but failed to attain mainstream use, mostly because of the limitations of the early devices. Bu...

An 8 mm pocket that wasn’t 3 mm at one time...?

Buccal mucosa carcinoma: surgical margin less than 3 mm, not 5 mm, predicts locoregional recurrence

BACKGROUND Most treatment failure of buccal mucosal cancer post surgery is locoregional recurrence. We tried to figure out how close the surgical margin being unsafe and needed further adjuvant treatment. METHODS Between August 2000 and June 2008, a total of 110 patients with buccal mucosa carcinoma (25 with stage I, 31 with stage II, 11 with stage III, and 43 with Stage IV classified accordi...