TY - JOUR
T1 - Small bowel obstruction owing to displaced spiral tack after laparoscopic TAPP inguinal hernia repair
AU - Fitzgerald, Heidi L.
AU - Orenstein, Sean B.
AU - Novitsky, Yuri W.
PY - 2010/6
Y1 - 2010/6
N2 - Laparoscopic repair of inguinal hernias has become a widely accepted technique owing to its safety, efficacy, and patient satisfaction. Laparoscopic inguinal herniorrhaphies, such as the transabdominal preperitoneal (TAPP) and the totally extraperitoneal approaches, usually employ a method of fixation involving staples, titanium spiral tacks, or sutures to secure the mesh over the myopectineal orifice. The TAPP approach also requires closure of the peritoneal flap to exclude the mesh from the intraabdominal contents. Overall complication rates with TAPP are low, with small bowel obstruction incidence of 0.2% to 0.5%. This is usually attributed to inadequate peritoneal closure, trocar site herniation, or adhesions. We report a case of small bowel obstruction caused by a displaced spiral tack used for the peritoneal closure during TAPP hernia repair.
AB - Laparoscopic repair of inguinal hernias has become a widely accepted technique owing to its safety, efficacy, and patient satisfaction. Laparoscopic inguinal herniorrhaphies, such as the transabdominal preperitoneal (TAPP) and the totally extraperitoneal approaches, usually employ a method of fixation involving staples, titanium spiral tacks, or sutures to secure the mesh over the myopectineal orifice. The TAPP approach also requires closure of the peritoneal flap to exclude the mesh from the intraabdominal contents. Overall complication rates with TAPP are low, with small bowel obstruction incidence of 0.2% to 0.5%. This is usually attributed to inadequate peritoneal closure, trocar site herniation, or adhesions. We report a case of small bowel obstruction caused by a displaced spiral tack used for the peritoneal closure during TAPP hernia repair.
KW - Displaced tack
KW - Laparoscopic inhuinal hernia
KW - Small bowel obstruction
KW - TAPP
UR - http://www.scopus.com/inward/record.url?scp=77954013931&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77954013931&partnerID=8YFLogxK
U2 - 10.1097/SLE.0b013e3181dfbc05
DO - 10.1097/SLE.0b013e3181dfbc05
M3 - Article
C2 - 20551794
AN - SCOPUS:77954013931
SN - 1530-4515
VL - 20
SP - e132-e135
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 3
ER -