Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature.
Laparoscopic inguinal hernia repairs, both transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP), are associated with peritoneal defects or tears. Nonclosure of the tears can lead to bowel obstruction. I present a case of an early (48 h) bowel obstruction related to a peritoneal defect post TAPP inguinal hernia repair. The literature on peritoneal closure and bowel obstruction related to laparoscopic inguinal hernia repair is reviewed as well as options for repairing defects.
McKay
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St. Clare's Surgical Associates, 624 McClellan Street, Suite G06, Schenectady, NY 12304, USA. rmckay@stclares.org
D006547:Hernia; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh