{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:23Z","timestamp":1756425803238,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Hand-assisted laparoscopic surgery (HALS) was introduced as a bridge towards totally laparoscopic procedures. Some concerns are raised regarding its long-term complications such as incisional hernia and adhesive small bowel obstruction. A woman was admitted with colicky central abdominal pain, distension and vomiting. She had a hand-assisted laparoscopic sigmoid colectomy for cancer 6\u2005years earlier. Clinical examination revealed a well-healed periumbilical scar with no evidence of incisional hernia. The abdomen was distended with exaggerated bowel sounds. A CT scan showed dilated loops of small bowel with a transitional zone and distally collapsed bowel. A diagnostic laparoscopy revealed a twisted segment of small bowel that was adherent to the anterior abdominal wall at the hand-port closure site. This segment was released laparoscopically without the need for a resection. Adhesive small bowel obstruction to the hand-port site closure may occur years after HALS and can simply be relieved by laparoscopic exploration.<\/jats:p>","DOI":"10.1136\/bcr-2013-200519","type":"journal-article","created":{"date-parts":[[2013,9,30]],"date-time":"2013-09-30T06:54:39Z","timestamp":1380524079000},"page":"bcr2013200519","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Small bowel obstruction after hand-assisted laparoscopic sigmoid colectomy for cancer"],"prefix":"10.1136","volume":"2013","author":[{"given":"Abdul-Wahed","family":"Meshikhes","sequence":"first","affiliation":[{"name":"Department of Surgery, King Fahad Specialist Hospital, Dammam, Eastern Province, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,30]]},"reference":[{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4103\/1319-3767.74444","article-title":"Hand assisted laparoscopic colorectal surgery: initial experience of a single surgeon","volume":"2013","author":"Meshikhes","year":"2011","journal-title":"Saudi J Gastroenterol"},{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.2","doi-asserted-by":"crossref","first-page":"5662","DOI":"10.3748\/wjg.v16.i45.5662","article-title":"The controversy of hand assited colorectal surgery","volume":"2013","author":"Meshikhes","year":"2010","journal-title":"World J Gastroenterol"},{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.3","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.1007\/s00464-007-9693-y","article-title":"The controversy regarding hand-assisted colorectal resection","volume":"2013","author":"Stein","year":"2007","journal-title":"Surg Endosc"},{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.4","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jamcollsurg.2008.09.003","article-title":"Long term complications of hand-assisted versus laparoscopic colectomy","volume":"2013","author":"Sonoda","year":"2009","journal-title":"J Am Coll Surg"},{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.5","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s00464-010-1206-8","article-title":"Laparoscopy for acute small bowel obstruction: indication or contraindication?","volume":"2013","author":"Tierris","year":"2011","journal-title":"Surg Endosc"},{"key":"2025082801173020000_2013.sep29_1.bcr2013200519.6","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1749-7922-4-3","article-title":"Feasibility of laparoscopy for small bowel obstruction","volume":"2013","author":"Farinella","year":"2009","journal-title":"World J Emerg Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:17:41Z","timestamp":1756369061000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,30]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-200519"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200519","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,9,30]]}}}