Abstract
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.
Highlights
Small bowel obstruction (SBO) after transabdominal preperitoneal (TAPP) laparoscopic inguinal hernia repair is a rare complication
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
Laparoscopic inguinal hernia repair has become a widely accepted technique since its inception in 1990 due to the benefits of the minimally invasive approach [1]. Both transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) techniques use any medium for mesh fixation such as non-resorbable or resorbable tacks, sutures, staples or more recently implemented fibrin sealant
Summary
Laparoscopic inguinal hernia repair has become a widely accepted technique since its inception in 1990 due to the benefits of the minimally invasive approach [1]. Dilated small bowel loops with an abrupt change of ileal loop caliber at the level of the right iliac fossa, and moderate amount of free fluid were observed (Figure 1B). Based on these findings a nasogastric tube was placed and laparoscopic exploration was decided. The abdominal cavity was examined, showing a small bowel loop attached to the protruding part of the titanium tack (Figure 2). The patient had an uneventful postoperative, and he was discharged on the 4th postoperative day
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
