# A case report of a 5 mm port site hernia that occurred at the drain insertion site after laparoscopic right nephrectomy

## TL;DR

This case report describes a rare 5 mm port site hernia after laparoscopic surgery in an elderly woman on long-term steroids.

## Contribution

The report highlights the challenges of managing a rare 5 mm port site hernia at a drain insertion site.

## Key findings

- A 5 mm port site hernia occurred at the drain insertion site after laparoscopic right nephrectomy.
- Fascial suturing was not possible due to the small port size, making countermeasures difficult.
- Patients on long-term steroids may be at higher risk and require careful monitoring.

## Abstract

A 5 mm port site hernia during laparoscopic surgery is rarer than a 12 mm port site hernia. Here, we report the case of a 5 mm port site hernia in an 85-year-old woman who underwent long-term steroid therapy and laparoscopic right nephrectomy. There was also a hernia at the port site where the drain was placed. Due to the 5 mm port at the drain removal site, fascial suturing was impossible after removal of the drain, and countermeasures were difficult. However, we believe that patients at a higher risk of port need suturing wound patients like this and should be carefully observed.