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Case Reports
. 2021 Feb 11:8:646091.
doi: 10.3389/fsurg.2021.646091. eCollection 2021.

Case Report: Small Bowel Obstruction Owing to Self-Anchoring Barbed Suture Device After TAPP Repair

Longbo Zheng  1 , Xiangyi Yin  1 , Huasheng Liu  1 , Shouguang Wang  1 , Jilin Hu  1
Affiliations
Case Reports

Case Report: Small Bowel Obstruction Owing to Self-Anchoring Barbed Suture Device After TAPP Repair

Longbo Zheng et al. Front Surg. .

Abstract

Groin hernioplasty is the most performed intervention in the adults worldwide, the minimally invasive inguinal hernia repair techniques widely used by surgeons today are transabdominal preperitoneal patch plasty (TAPP) and total extraperitoneal patch plasty (TEP). We report a 62-year-old man with bowel obstruction caused by the use of self-anchoring barbed suture to close the peritoneum 3 days after TAPP. Surgeons using the barbed suture should be alert to this possibility when encountering this complication of intestinal obstruction, so as to avoid more serious consequences.

Keywords: TAPP; inguinal hernia; obstruction; postoperative; small bowel.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Barbed suture remaining in the abdominal cavity after the initial operation.
Figure 2
Figure 2
CT of the abdomen on re-admission, the red arrow indicates the “vortex sign” that marks volvulus.
Figure 3
Figure 3
Emergency laparoscopy revealed that the barbed sutures were firmly entangled with the mesenteric.
See this image and copyright information in PMC

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