scholarly journals A CASE OF LATE ONSET SMALL BOWEL OBSTRUCTION CAUSED BY ISCHEMIC ENTERITIS AFTER REDUCTION OF INCARCERATED INGUINAL HERNIA

2004 ◽  
Vol 65 (12) ◽  
pp. 3330-3334 ◽  
Author(s):  
Tomoyuki WAKAHARA ◽  
Tadashi TSUKAMOTO ◽  
Norihito ONISHI ◽  
Yutaka HAMABE ◽  
Takeshi ISHIDA ◽  
...  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Liming Wang ◽  
Taku Maejima ◽  
Susumu Fukahori ◽  
Shoji Nishihara ◽  
Daitaro Yoshikawa ◽  
...  

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.


2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Taiki Sunakawa ◽  
Nobuo Ito ◽  
Ryo Moriyasu ◽  
Nobuya Seki ◽  
Daisuke Takeuchi ◽  
...  

Abstract Background Ischemic bowel injuries are generally caused by arteriosclerosis, thromboembolism, or vasculitis. Ischemic enteritis is less common than ischemic colitis because of the rich collateral arteries of the small intestine. In the present case, smooth muscle degeneration of the mesenteric to the submucosal veins caused ischemic enteritis and small bowel obstruction. Case presentation An 85-year-old woman with recurrent enteritis eventually developed small bowel obstruction. We performed laparoscopic partial resection of the small intestine. The pathological findings revealed smooth muscle degeneration of the mesenteric veins that caused ischemic enteritis. Venous changes were detected not only in the injured region, but also in a part of the normal region of the resected specimen. She continued to experience some minor symptoms postoperatively; however, these symptoms subsided in a short period with medicine discontinuation. Conclusion This report shows the possibility that a disease causes ischemic enteritis with unique venous pathological changes and may recur postoperatively.


2020 ◽  
Vol 86 (1) ◽  
pp. 14-16
Author(s):  
Monica K. Zipple ◽  
Brittany Bankhead-Kendall ◽  
Mikhail D. Roy ◽  
Bashar Yaldo

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