Case Report: Small Bowel Obstruction Owing to Self-Anchoring Barbed Suture Device After TAPP Repair

Groin hernioplasty is the most performed intervention in the adults worldwide, the minimally invasive inguinal hernia repair techniques widely used by surgeons today are transabdominal preperitoneal patch plasty (TAPP) and total extraperitoneal patch plasty (TEP). We report a 62-year-old man with bowel obstruction caused by the use of self-anchoring barbed suture to close the peritoneum 3 days after TAPP. Surgeons using the barbed suture should be alert to this possibility when encountering this complication of intestinal obstruction, so as to avoid more serious consequences.

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Small bowel obstruction after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report and review of the literature

Hernia ◽

10.1007/s10029-014-1301-1 ◽

2014 ◽

Vol 19 (3) ◽

pp. 389-394 ◽

Cited By ~ 22

Author(s):

G. Köhler ◽

F. Mayer ◽

M. Lechner ◽

R. Bittner

Keyword(s):

Case Report ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Barbed Suture ◽

Review Of The Literature ◽

Tapp Repair ◽

Peritoneal Closure ◽

Suture Device

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Small bowel obstruction SBO after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjy165 ◽

2018 ◽

Vol 2018 (7) ◽

Cited By ~ 4

Author(s):

Eugenio M Tagliaferri ◽

Sheng L Wong Tavara ◽

Jacky L Abad de Jesus ◽

Heinrich Bergmann ◽

Sebastian Hammans ◽

...

Keyword(s):

Case Report ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Barbed Suture ◽

Tapp Repair ◽

Peritoneal Closure ◽

Suture Device

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

Surgical Case Reports ◽

10.1186/s40792-021-01249-w ◽

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.

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