title: Entrapment of small bowel after laparoscopic herniorrhaphy.
abstract: As laparoscopic hernia repair continues to evolve as an operative procedure, papers will continue to be published discussing new variations and new techniques which will better the operative procedure as a whole and quite possibly decrease its associated complications (i.e., morbidity and mortality). We present a case of laparoscopic bilateral herniorrhaphy in which after uncomplicated surgery and an immediate, uneventful postoperative course, the patient returned to our institution with both a rectus sheath hematoma and small bowel obstruction. The patient, who was initially treated conservatively, ultimately required laparotomy for persistent small bowel obstruction. Laparotomy revealed incarcerated small bowel in a cavity between the posterior rectus fascia and the rectus muscle proper. The patient did well after laparotomy and was discharged home with no further complications.
authors.affiliation: North Shore University Hospital, Manhasset, NY 11030.
authors.forename: L N
authors.initials: LN
authors.lastname: Spier
authors.forename: R S
authors.initials: RS
authors.lastname: Lazzaro
authors.forename: A
authors.initials: A
authors.lastname: Procaccino
authors.forename: A
authors.initials: A
authors.lastname: Geiss
mesh_terms: D000368:Aged; D006406:Hematoma / Q000209:etiology; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D009135:Muscular Diseases / Q000209:etiology; D017568:Rectus Abdominis