Background: Richter's hernias, through the laparoscopic port site, are a rare complication of laparoscopic surgery; however, the severity of the complication necessitates early recognition and intervention to prevent bowel ischemia and ultimately bowel resection and its associated morbidity and mortality. Studies have identified that port sites 10 mm and greater are associated with the highest risk of Richter's hernias and that closing these larger port sites in layers reduces this risk. Case: A case of Richter's hernia in a 5-mm port site that was successfully recognized and treated without the need for a bowel resection. Conclusion: We discuss whether preventative measures should be employed for smaller port sites, given the severity of the potential complications. (J GYNECOL SURG 31:232)
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