INTRODUCTION: There is an ongoing debate whether prophylactic drainage or incidental appendectomy should be performed in @entity1 undergoing colorectal surgery. On the other hand, it has been shown that the placement of drains through former trocar sites as well as the use of large (>= 10mm) trocars, @entity4438 or closed laparoscopy technique all predispose for the occurrence of trocar site hernias. PRESENTATION OF CASE: We report the case of a 59-year-old male @entity1 who underwent laparoscopic sigmoid colectomy with primary @entity254 for recurrent @entity4436 . Preoperative diagnostics revealed no abnormalities other than multiple diverticula in the sigmoid colon. The subsequent surgery was conducted without any complications. Due to inconspicuous intraoperative appearance of the @entity2466 , no incidental appendectomy was performed. On the 4th postoperative day, the Easy Flow drain - which had been placed prophylactically through the 12mm trocar site in the right lower abdomen - was removed. Four hours after drain removal, trocar-site evisceration of the @entity2466 occurred, requiring emergency surgery. DISCUSSION AND CONCLUSION: The present case is yet another argument for restricting the use of prophylactic drains in colorectal surgery as well as closing port sites of >= 10mm diameter. Furthermore, incidental appendectomy may be considered since it is able to prevent this type of complication and can be performed with minimal cost and morbidity.

Trocar-site evisceration of the XXXX following laparoscopic sigmoid colectomy: A case report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['incomplete fascial closure'] @entity2466 :: ('MESH:D001063', 'Disease') :: ['vermiform appendix'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity4436 :: ('MESH:D004238', 'Disease') :: ['sigmoid diverticulitis']
@entity2466 :: (MESH:D001063,Disease) :: ['vermiform appendix']
