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  • Title: Strangulated small bowel obstruction complicating totally extra-peritoneal laparoscopic inguinal hernia repair.
    Author: Al-Zubaidi M, Bayfield N, Neelankavil S.
    Journal: BMJ Case Rep; 2020 Feb 05; 13(2):. PubMed ID: 32029516.
    Abstract:
    Totally extraperitoneal (TEP) laparoscopic inguinal hernia repair is a surgical method of inguinal hernia repair that avoids entry into the peritoneum, thus significantly reducing likelihood of intra-peritoneal complications. Herein, we describe a rare case in which a 42-year-old man presented with acutely strangulated small bowel in an internal hernia through the peritoneum and posterior rectus sheath 6 days postelective TEP laparoscopic inguinal hernia repair. He presented with acute onset severe abdominal pain and intractable vomiting. After CT diagnosis, emergent laparotomy was performed, and 20 cm of non-viable small bowel required resection, with enteric anastomosis. The peritoneal defect was identified and repaired. The patient was discharged 4 days postoperatively with an uneventful postoperative course.
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