Briefly, the peritoneum was opened, the bilateral inguinal hernia sacs were reduced into the peritoneal cavity, and the mesh was placed. He signed the informed consent form and then underwent TAPP using the surgical method described in the literature. The patient voluntarily requested surgical treatment. A diagnosis of bilateral inguinal hernia was made after clinical physical examinations and color Doppler ultrasonography. Three months ago, the right inguinal hernia recurred, and a left inguinal hernia was also found. He underwent a Lichtenstein hernia repair for the right inguinal hernia 7 years ago, and there was no history of other abdominal surgeries. The patient denied any history of hypertension, type 2 diabetes, coronary heart disease, cerebrovascular disease, or hepatitis. Here we report a case of intestinal volvulus with recurrent abdominal pain as the only clinical symptom, which occurred 3 mo after a TAPP procedure for bilateral inguinal hernia, and review the literature regarding complications after TAPP. These complications are rare but require a second operation. Complications often occur within 2 wk after surgery, with abdominal pain and vomiting being the typical clinical manifestations. It has been reported that the incidence of such complications following TAPP ranges from 0.2% to 0.5%. As the integrity of the peritoneum is destroyed, abdominal adhesions may still occur after TAPP, leading to serious complications such as intestinal obstruction, strangulation, and necrosis. The TAPP procedure requires peritoneal opening and suturing. Therefore, it is particularly feasible for bilateral inguinal hernias and recurrent inguinal hernias after open hernia repair. Its benefits are fast recovery, low risk of chronic pain, and high cost-effectiveness. Transabdominal preperitoneal (TAPP) hernioplasty is a commonly used technique for the repair of adult inguinal hernias.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |