Summary
As laparoscopic hernia repair continues to evolve as an operative procedure, papers will continue to be published discussing new variations and new techniques which will better the operative procedure as a whole and quite possibly decrease its associated complications (i.e., morbidity and mortality). We present a case of laparoscopic bilateral herniorraphy in which after uncomplicated surgery and an immediate, uneventful postoperative course, the patient returned to our institution with both a rectus sheath hematoma and small bowel obstruction. The patient, who was initially treated conservatively, ultimately required laparotomy for persistent small bowel obstruction. Laparotomy revealed incarcerated small bowel in a cavity between the posterior rectus fascia and the rectus muscle proper. The patient did well after laparotomy and was discharged home with no further complications.
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References
Bourke JB (1977) Small intestinal obstruction from a Richter's hernia at the site of insertion of a laparoscope. Br Med J 2: 1393–1394
Fear R (1968) Laparoscopy: a valuable aid in gynecologic diagnosis. Obstet Gynecol 31: 297
Kiilholma P, Makinea J (1988) Incarcerated Richter's hernia after laparoscopy: a case report. Eur J Obstet Gynecol Reprod Biol 28: 75–77
Sauer M, Jarrett II J (1984) Small bowel obstruction following diagnostic laparoscopy. Fertil Steril 42: 653–654
Shiff I, Naftolin F (1974) Small bowel incarceration after uncomplicated laparoscopy. Obstet Gynecol 43: 674–675
Shiff I, Naftolin F (1974) Small bowel incarceration after uncomplicated laparoscopy. Obstet Gynecol 43: 674–675
Thompson BH, Wheeless CR (1973) Gastrointestinal complications of laparoscopy sterilization. Obstet Gynecol 41: 669–676
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Spier, L.N., Lazzaro, R.S., Procaccino, A. et al. Entrapment of small bowel after laparoscopic herniorrhaphy. Surg Endosc 7, 535–536 (1993). https://doi.org/10.1007/BF00316698
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DOI: https://doi.org/10.1007/BF00316698