Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair

被引：4

作者：

Silva, Arnaldo Neves Santos ^{[1
]}

Kouroumpas, Efstratios ^{[2
]}

Fearnhead, Nicola ^{[2
]}

Morton, Jonathan R. ^{[2
]}

机构：

[1] Cambridge Univ Hosp NHS Fdn Trust, Dept Surg, Cambridge, England

[2] Cambridge Univ Hosp NHS Fdn Trust, Cambridge Colorectal Unit, Cambridge, England

来源：

BMJ CASE REPORTS | 2019年 / 12卷 / 04期

关键词：

gastrointestinal surgery; general surgery; surgery; MESH FIXATION; PERITONEAL CLOSURE; METAANALYSIS; GLUE; MANAGEMENT;

D O I：

10.1136/bcr-2019-229377

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%-0.5%. The common causes for SBO post-TAPP include inadequate closure, port-site herniation and adhesions. Here, we present a case of adhesional SBO related to stapling device from previous laparoscopic inguinal hernia repair and review alternative methods for mesh fixation. This case reports a rare but life-threatening complication from a commonly performed day case procedure and highlights importance of adequate surgical technique when inserting foreign bodies intra-abdominally. The patient required an emergency laparotomy and small bowel resection, developed postoperative ileus which managed with a nasogastric tube, intravenous fluids and parenteral nutrition and was discharged 12 days postoperatively.

引用

页数：4

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