Peritoneal defect herniation causing small bowel obstruction: a rare complication of transabdominal preperitoneal repair

Abstract

Laparoscopic approaches to inguinal hernia repair are becoming increasingly more popular as they offer many advantages to open techniques including faster recovery and lower rates of wound infection. However, it is important to recognize complications associated with newer techniques which only become apparent with increased volume and experience. In this report, we describe a rare case of small bowel obstruction (SBO) secondary to peritoneal defect herniation post-transabdominal preperitoneal repair (TAPP). This is an uncommon complication that is sparsely reported in the literature but may have devastating consequences for the patient if unrecognized or mistakenly attributed to adhesional SBO. A high index of suspicion for internal herniation and a low index for reoperation are important with SBO in the early postoperative phase post-TAPP.

An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

“…with continuous or interrupted absorbable barbed sutures, non-absorbable sutures, and tackers. In our case, we used 2-0 polypropylene sutures as barbed sutures were unavailable [13,[16][17][18][19]. A review of peritoneal flap closure techniques and materials is needed to determine whether these influence complication rates and other variables such as quality of life [15,16].…”

Hernia interna del intestino delgado a través de defecto peritoneal posterior a reparación de hernia inguinal con técnica TAPP

“…Se han reportado menos casos de una hernia en el espacio preperitoneal al utilizar sutura para su cierre. 6 Una obstrucción intestinal como complicación de la reparación laparoscópica de una hernia inguinal se puede dividir en enfermedad por adherencias o por herniación. La causada por herniación a su vez se puede subdividir en temprana, por defectos peritoneales o tardía, a consecuencia de herniación en sitio del puerto.…”