Introduction. Laparoscopic сholecystectomy particularly reduced the frequency of postoperative hernias compared with classical open technique. But now we have new specific to laparoscopic techniques complications, one of them is port-site hernias. Incidence of port-site hernias is 0.3–5.4%, factors contributing to their occurrence are older age, obesity, diameter and shape of trocar, the presence of abdominal wall hernias history, risk also increases with the number of installed ports.
Materials and methods. Here is the actual observation of postoperative hernia after laparoscopic cholecystectomy. We have case of a 47-year women with acute intestinal obstruction. In anamnesis she had laparoscopic cholecystectomy two years ago. The other surgical procedures as well as existing defects of the anterior abdominal wall in the survey at the time of hospitalization was not presented. X-ray examination revealed signs of acute intestinal obstruction. Cause of acute intestinal obstruction was pinched loop of small intestine in the anterior abdominal wall defect 1.5 cm in diameter, formed in the area of trocar installation. The removal of obstruction, bowel nasogastric intubation and suturing the anterior abdominal wall defect was performed. The postoperative period was normal.
Conclusions. The use of laparoscopic technology has led to a significant reduction in rate of complications, such as postoperative hernia. However, in small number of patients after laparoscopic surgery there are possible some specific complications, including rare localization with their complicated diagnosis.