Entrapment of small bowel after laparoscopic herniorrhaphy.
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.
Spier
L N
LN
North Shore University Hospital, Manhasset, NY 11030.
Lazzaro
R S
RS
Procaccino
A
A
Geiss
A
A
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