Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair

Hernia ◽  
2007 ◽  
Vol 12 (3) ◽  
pp. 303-305 ◽  
Author(s):  
G. Peach ◽  
L. C. Tan
2019 ◽  
Vol 12 (4) ◽  
pp. e229377
Author(s):  
Arnaldo Neves Santos Silva ◽  
Efstratios Kouroumpas ◽  
Nicola Fearnhead ◽  
Jonathan R Morton

Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15 000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%–0.5%. The common causes for SBO post-TAPP include inadequate closure, port-site herniation and adhesions. Here, we present a case of adhesional SBO related to stapling device from previous laparoscopic inguinal hernia repair and review alternative methods for mesh fixation. This case reports a rare but life-threatening complication from a commonly performed day case procedure and highlights importance of adequate surgical technique when inserting foreign bodies intra-abdominally. The patient required an emergency laparotomy and small bowel resection, developed postoperative ileus which managed with a nasogastric tube, intravenous fluids and parenteral nutrition and was discharged 12 days postoperatively.


2020 ◽  
Vol 86 (1) ◽  
pp. 14-16
Author(s):  
Monica K. Zipple ◽  
Brittany Bankhead-Kendall ◽  
Mikhail D. Roy ◽  
Bashar Yaldo

2009 ◽  
Vol 91 (8) ◽  
pp. 665-666 ◽  
Author(s):  
SE Noblett ◽  
S Woodcock

We report a case of pyoderma gangrenosum occurring at the site of a laparoscopic port insertion following laparoscopic inguinal hernia repair.


2021 ◽  
pp. 1-3
Author(s):  
Emmanuel E. Sadava ◽  
Cristian A. Angeramo ◽  
Emmanuel E. Sadava

Background: Small bowel obstruction (SBO) after transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair is a rare complication. It is generally associated to a failure of the peritoneal gap closure with intestinal loops passing through the gap. Case Presentation: We report a case of SBO secondary to titanium tack after 2 weeks of laparoscopic TAPP repair managed by laparoscopic approach, and we update some considerations about this unfortunate complication. Conclusion: SBO due to mechanical fixation devices utilized in laparoscopic TAPP repairs is infrequent. In case of closing of peritoneal gap with tacks, those with low exposition profile and absorbable should be preferred.


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