Peritoneal closure

2020 ◽  
Author(s):  
Amita Jain
Keyword(s):  
Peritoneal Closure

scholarly journals Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Liming Wang ◽  
Taku Maejima ◽  
Susumu Fukahori ◽  
Shoji Nishihara ◽  
Daitaro Yoshikawa ◽  
...  
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Perforation ◽  
Barbed Suture ◽  
Small Bowel Perforation ◽  
Peritoneal Closure ◽  
Pubmed Database

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.

scholarly journals Retrospective Analysis of Risk Factors for Postoperative Perineal Hernia After Endoscopic Abdominoperineal Excision for Rectal Cancer

2021 ◽  
Author(s):  
Tatsuya Manabe ◽  
Yusuke Mizuuchi ◽  
Yasuhiro Tsuru ◽  
Hiroshi Kitagawa ◽  
Takaaki Fujimoto ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Regression Analysis ◽  
Odds Ratio ◽  
Open Surgery ◽  
Abdominoperineal Excision ◽  
Perineal Hernia ◽  
Lower Rectal Cancer ◽  
Peritoneal Closure ◽  
Initial Surgery

Abstract Background: In contrast to open-surgery abdominoperineal excision (APE) for rectal cancer, postoperative perineal hernia (PPH) is reported to increase after extralevator APE and endoscopic surgery. In this study, therefore, we aimed to determine the risk factors for PPH after endoscopic APE.Methods: A total 73 patients who underwent endoscopic APE for lower rectal cancer were collected from January 2009 to March 2020, and the risk factors for PPH were analyzed retrospectively.Results: Nineteen patients (26%) developed PPH after endoscopic APE, and the diagnosis of PPH was made at 9–393 days (median: 183 days) after initial surgery. Logistic regression analysis showed that absence of pelvic peritoneal closure alone increased the incidence of PPH significantly (odds ratio; 13.76, 95% confidence interval; 1.48–1884.84, p = 0.004).Conclusions: Pelvic peritoneal closure should be performed when possible after endoscopic APE to prevent PPH.

13: The art of peritoneal closure during sacrocolpopexy

2020 ◽  
Vol 222 (3) ◽  
pp. S839-S840
Author(s):  
A.M. Artsen ◽  
A. Stork ◽  
H. Zyczynski
Keyword(s):  
Peritoneal Closure

scholarly journals Transabdominal preperitoneal repair using barbed sutures for bilateral inguinal hernia in liver cirrhosis with ascites

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Masakazu Ohuchi ◽  
Noriyuki Inaki ◽  
Kunihiko Nagakari ◽  
Shintaro Kohama ◽  
Kazuhiro Sakamoto ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Inguinal Hernia ◽  
Preperitoneal Repair ◽  
Lichtenstein Repair ◽  
Bilateral Inguinal Hernia ◽  
Effective Treatment Option ◽  
Barbed Sutures ◽  
Transabdominal Preperitoneal ◽  
Tapp Repair ◽  
Peritoneal Closure

Abstract The appropriate surgical treatment for inguinal hernia in patients with liver cirrhosis and ascites remains controversial. A 79-year-old male undergoing treatment for Child–Pugh B hepatitis C-induced liver cirrhosis and hepatocellular carcinoma complicated with bilateral inguinal hernia underwent transabdominal preperitoneal (TAPP) repair. During surgery, barbed sutures were used to facilitate appropriate peritoneal closure. His postoperative course was uneventful. Information on TAPP repair for inguinal hernia in patients with liver cirrhosis and ascites is limited. The International Guidelines for Inguinal Hernia Management recommend Lichtenstein repair for patients with ascites. TAPP repair requires peritonectomy via a posterior endoscopic approach; therefore, proper peritoneal closure is important to prevent the leakage of ascitic fluid. Herein, TAPP repair was safely and successfully completed using barbed sutures to achieve proper and strong peritoneal closure. TAPP repair using barbed sutures can be an effective treatment option for patients with liver cirrhosis and ascites.

scholarly journals Peritoneal closure and adhesions

2002 ◽  
Vol 17 (1) ◽  
pp. 249-a-250 ◽  
Author(s):  
T. Tulandi
Keyword(s):  
Peritoneal Closure

Peritoneal closure during laparoscopic supracervical hysterectomy

2016 ◽  
Vol 294 (4) ◽  
pp. 785-789 ◽  
Author(s):  
Holm Eggemann ◽  
Nara Asbahr Mitrik ◽  
Otto Kabdebo ◽  
Serban Dan Costa ◽  
Atanas Ignatov
Keyword(s):  
Laparoscopic Supracervical Hysterectomy ◽  
Supracervical Hysterectomy ◽  
Peritoneal Closure
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