Large bowel obstruction: a postoperative complication after laparoscopic bilateral inguinal hernia repair.
Each year in the United States alone over 500,000 inguinal herniorrhaphies are performed. Numerous techniques and methods have been described, all in an attempt to decrease recurrences, complications, and morbidity. One of the newer methods involves laparoscopic, transabdominal, preperitoneal placement of a mesh sheet. Several articles have described complications following this procedure--some inherent in all hernia repairs and some unique to either the laparoscopic approach or mesh placement. Our case appears to represent the first description of a large bowel obstruction secondary to an intense, inflammatory reaction to the inserted mesh. It suggests that mesh insertion, despite reperitonealizing the mesh, is not without complication.
McDonald
D
D
Department of Surgery, Western Reserve Care System, Youngstown, Ohio 44501, USA.
Chung
D
D
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000209:etiology*; D012810:Sigmoid Diseases / Q000209:etiology*; D013526:Surgical Mesh / Q000009:adverse effects*