ArticleSurgical case reports2021
Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review.
Article in Surgical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- From hands to handles: a modern duel between laparoscopic TEP and robotic TAPP.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Robotic eTEP inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report.Journal of surgical case reports · 2025Article
- Balloon dissection for robotic totally extra-peritoneal (rTEP) inguinal herniorrhaphy: description of a modified technique and report on 97 consecutive patients.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Effects of Using Barbed Suture in Myomectomy on Adhesion Formation and Adverse Pregnancy Outcome.Journal of personalized medicine · 2022Article
- Bowel perforation surgery due to fecal impaction immediately after hernia mesh surgery (TAPP).Journal of surgical case reports · 2022Article
- Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy.CRSLS : MIS case reports from SLSArticle
- Barbed Suture Causing Ureterovaginal Fistula Postconservative Surgery for Deep Infiltrating Endometriosis.Gynecology and minimally invasive therapyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic 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.
conclusionsSurgeons 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.
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