Small Bowel Obstruction after Bilateral TAPP Inguinal Hernia Repair

Caitlin Halbert, DO, Aurora Pryor, MD. Stony Brook University

Video short submission highlighting the case of a 63 year old female who presented with a small bowel obstruction a week after bilateral transabdominal preperitoneal inguinal hernia. Barbed suture had been used to close the peritoneum during the initial surgery. The tails of the suture had been left long. They appeared to be the cause of the obstruction after becoming densely adherent to the bowel and mesentery. Our recommendation at the conclusion of the case is to trim the barbed sutures flush with the peritoneum to avoid this complication.

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