Laparoscopic surgery for small bowel obstruction caused by dehiscence of peritoneal suture site after TAPP : A case report Kazuhisa MIKAMI 1 , Hiroyuki FURUTA 1 , Shinsuke TABATA 1 1Department of Surgery, Jouhoku Hospital, Ishikawa Kinrosya Medical Association Keyword: TAPP , 術後腸閉塞 , 腹腔鏡下修復術 pp.647-651
Published Date 2017/9/15
DOI https://doi.org/10.11477/mf.4426200455
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A 69-year-old male underwent transabdominal preperitoneal repair(TAPP) for bilateral inguinal hernia, and small bowel obstruction developed on postoperative day(POD)2. There was no response to conservative treatment, and laparoscopic surgery was performed on POD 6. Intraoperative findings showed wound dehiscence on the peritoneum and incarceration of the small bowel in the same location. The obstruction was relieved by repairing the incarceration, resuturing the open wound in the peritoneum, and fixing a barrier to prevent adhesion. We believe that it is important to take appropriate measures in order to prevent small bowel obstruction after TAPP.

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