scholarly journals Intestinal Obstruction Due to Titanium Tack after TAPP Inguinal Hernia Repair

2021 ◽  
pp. 1-3
Author(s):  
Emmanuel E. Sadava ◽  
Cristian A. Angeramo ◽  
Emmanuel E. Sadava
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rare Complication ◽  
Laparoscopic Approach ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Case Presentation ◽  
Gap Closure ◽  
Fixation Devices

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.

scholarly journals Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 497-508 ◽  
Author(s):  
Alessia Ferrarese ◽  
Marco Bindi ◽  
Matteo Rivelli ◽  
Mario Solej ◽  
Stefano Enrico ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Fibrin Glue ◽  
Polypropylene Mesh ◽  
Perioperative Complications ◽  
Intraoperative Complications ◽  
Laparoscopic Approach ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia

AbstractLaparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and effective technique. In this study we tested the hypothesis that self-gripping mesh used with the laparoscopic approach is comparable to polypropylene mesh in terms of perioperative complications, against a lower overall cost of the procedure.We carried out a prospective randomized trial comparing a group of 30 patients who underwent laparoscopic inguinal hernia repair with self-gripping mesh versus a group of 30 patients who received polypropylene mesh with fibrin glue fixation.There were no statistically significant differences between the two groups with regard to intraoperative variables, early or late intraoperative complications, chronic pain or recurrence.Self-gripping mesh in transabdominal hernia repair was found to be a valid alternative to polypropylene mesh in terms of complications, recurrence and postoperative pain. The cost analysis and comparability of outcomes support the preferential use of self-gripping mesh.

Controversies in laparoscopic inguinal hernia repair: emergency inguinal hernia repair by laparoscopic approach.

2019 ◽  
Vol 30 (3) ◽  
pp. 275-278
Author(s):  
M Sánchez-Ramírez ◽  
M Retamar ◽  
J Reguera ◽  
M Infantes ◽  
B Marenco de la Cuadra ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Approach ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia

Resumen La cirugía laparoscópica es aceptada como la primera línea de tratamiento para algunas afecciones quirúrgicas agudas muy frecuentes como la colecistitis aguda, la apendicitis aguda y la úlcera péptica perforada. En el caso de las hernias inguinales de urgencias, poco a poco se está implementando el abordaje laparoscópico porque además de las ventajas que el propio abordaje ofrece, es una herramienta muy útil en comparación al abordaje abierto, ya que puede evaluar la cavidad abdominal y la viabilidad del intestino incarcerado. Debemos ser cautos a la hora de realizar este abordaje puesto que es un procedimiento que requiere experiencia quirúrgica concreta independientemente de los planos quirúrgicos clásicos.

scholarly journals Port-Site Pyoderma Gangrenosum – A Rare Complication of Surgical Trauma

2009 ◽  
Vol 91 (8) ◽  
pp. 665-666 ◽  
Author(s):  
SE Noblett ◽  
S Woodcock
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pyoderma Gangrenosum ◽  
Rare Complication ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Port Site ◽  
Surgical Trauma ◽  
Laparoscopic Port ◽  
Laparoscopic Inguinal Hernia

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

scholarly journals Strangulated small bowel obstruction complicating totally extra-peritoneal laparoscopic inguinal hernia repair

2020 ◽  
Vol 13 (2) ◽  
pp. e232780
Author(s):  
Mohammed Al-Zubaidi ◽  
Nicholas Bayfield ◽  
Shelbin Neelankavil
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rectus Sheath ◽  
Acute Onset ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
Posterior Rectus Sheath ◽  
Emergent Laparotomy

Totally extraperitoneal (TEP) laparoscopic inguinal hernia repair is a surgical method of inguinal hernia repair that avoids entry into the peritoneum, thus significantly reducing likelihood of intra-peritoneal complications. Herein, we describe a rare case in which a 42-year-old man presented with acutely strangulated small bowel in an internal hernia through the peritoneum and posterior rectus sheath 6 days postelective TEP laparoscopic inguinal hernia repair. He presented with acute onset severe abdominal pain and intractable vomiting. After CT diagnosis, emergent laparotomy was performed, and 20 cm of non-viable small bowel required resection, with enteric anastomosis. The peritoneal defect was identified and repaired. The patient was discharged 4 days postoperatively with an uneventful postoperative course.

scholarly journals SYSTEMIZATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR (TAPP) BASED ON A NEW ANATOMICAL CONCEPT: INVERTED Y AND FIVE TRIANGLES

2019 ◽  
Vol 32 (1) ◽  
Author(s):  
Marcelo FURTADO ◽  
Christiano M. P. CLAUS ◽  
Leandro Totti CAVAZZOLA ◽  
Flavio MALCHER ◽  
Alexandre BAKONYI-NETO ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Approach ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Anatomic Landmarks ◽  
Critical View Of Safety ◽  
Laparoscopic Inguinal Hernia ◽  
General Surgeons ◽  
Mandatory Use

ABSTRACT Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Aim: To propose a technical systematization for transabdominal laparoscopic repair (TAPP) of inguinal hernias based on anatomical concepts. Method: To offer a systematization of TAPP repair based on well defined anatomic landmarks, describing the concept of “inverted Y”, identification of five triangles and three zones of dissection, to achieve the “critical view of safety” for laparoscopic inguinal hernia repair. Results: Since this standardization was developed five years ago, many surgeons were trained following these precepts. Reproducibility is high, as far as, it´s rate of adoption among surgeons. Conclusion: The concept of the “inverted Y”, “Five triangles” and the dissection based in “Three Zones” establish an effective and reproducible standardization of the TAPP technique.

scholarly journals Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair

2019 ◽  
Vol 12 (4) ◽  
pp. e229377
Author(s):  
Arnaldo Neves Santos Silva ◽  
Efstratios Kouroumpas ◽  
Nicola Fearnhead ◽  
Jonathan R Morton
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Hernia Repair ◽  
Small Bowel Obstruction ◽  
Inguinal Hernia Repair ◽  
Bowel Obstruction ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Alternative Methods ◽  
Stapling Device ◽  
Laparoscopic Inguinal Hernia

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.

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