PT  - JOURNAL ARTICLE
AU  - Arnaldo Neves Santos Silva
AU  - Efstratios Kouroumpas
AU  - Nicola Fearnhead
AU  - Jonathan R Morton
TI  - Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair
AID  - 10.1136/bcr-2019-229377
DP  - 2019 Apr 01
TA  - BMJ Case Reports
PG  - e229377
VI  - 12
IP  - 4
4099  - http://casereports.bmj.com/content/12/4/e229377.short
4100  - http://casereports.bmj.com/content/12/4/e229377.full
SO  - BMJ Case Reports2019 Apr 01; 12
AB  - Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15 000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%–0.5%. The common causes for SBO post-TAPP include inadequate closure, port-site herniation and adhesions. Here, we present a case of adhesional SBO related to stapling device from previous laparoscopic inguinal hernia repair and review alternative methods for mesh fixation. This case reports a rare but life-threatening complication from a commonly performed day case procedure and highlights importance of adequate surgical technique when inserting foreign bodies intra-abdominally. The patient required an emergency laparotomy and small bowel resection, developed postoperative ileus which managed with a nasogastric tube, intravenous fluids and parenteral nutrition and was discharged 12 days postoperatively.