ABSTRACT
Trocar hernias are an increasingly reported, yet largely avoidable, postoperative complication of laparoscopic access (1). Poor closure of a trocar incision (or not attempting closure at all) is the main contributing factor in the development of a trocar hernia (1-3). Trocar hernias can increase the morbidity of an otherwise uncomplicated minimally invasive surgical procedure. Trocar hernias most commonly occur through fascial incisions that are 10 mm in length; however, hernias have also occurred at 5 mm trocar sites (3-6). The potential for abdominal herniation through trocar sites was first reported in 1968 early in the development of laparoscopic techniques (7). Although the development of improvements
in trocar placement and fascial closure techniques have decreased the incidence of trocar hernias, the occurrence of such complications has not been eliminated completely.
