{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:48:21Z","timestamp":1769024901351,"version":"3.49.0"},"reference-count":21,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,9]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15\u2009000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%\u20130.5%. The common causes for SBO post-TAPP include inadequate closure, port-site herniation and adhesions. Here, we present a case of adhesional SBO related to stapling device from previous laparoscopic inguinal hernia repair and review alternative methods for mesh fixation. This case reports a rare but life-threatening complication from a commonly performed day case procedure and highlights importance of adequate surgical technique when inserting foreign bodies intra-abdominally. The patient required an emergency laparotomy and small bowel resection, developed postoperative ileus which managed with a nasogastric tube, intravenous fluids and parenteral nutrition and was discharged 12 days postoperatively.<\/jats:p>","DOI":"10.1136\/bcr-2019-229377","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T16:06:02Z","timestamp":1556035562000},"page":"e229377","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair"],"prefix":"10.1136","volume":"12","author":[{"given":"Arnaldo Neves Santos","family":"Silva","sequence":"first","affiliation":[{"name":"Department of Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstratios","family":"Kouroumpas","sequence":"additional","affiliation":[{"name":"The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Fearnhead","sequence":"additional","affiliation":[{"name":"The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan R","family":"Morton","sequence":"additional","affiliation":[{"name":"The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,4,23]]},"reference":[{"key":"2025082712412363000_12.4.e229377.1","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1002\/bjs.10812","article-title":"Thirty-day mortality in patients undergoing laparotomy for small bowel obstruction","volume":"105","author":"Peacock","year":"2018","journal-title":"Br J Surg"},{"key":"2025082712412363000_12.4.e229377.2","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.suc.2018.05.007","article-title":"Small Bowel Obstruction","volume":"98","author":"Bower","year":"2018","journal-title":"Surg Clin North Am"},{"key":"2025082712412363000_12.4.e229377.3","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1097\/SLA.0b013e3182a1b100","article-title":"Early operation is associated with a survival benefit for patients with adhesive bowel obstruction","volume":"258","author":"Teixeira","year":"2013","journal-title":"Ann Surg"},{"key":"2025082712412363000_12.4.e229377.4","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200207000-00002"},{"key":"2025082712412363000_12.4.e229377.5","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1111\/codi.14016","article-title":"Current management of small bowel obstruction in the UK: results from the National Audit of Small Bowel Obstruction clinical practice survey","volume":"20","author":"Lee","year":"2018","journal-title":"Colorectal Dis"},{"key":"2025082712412363000_12.4.e229377.6","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE Statement: Consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int J Surg"},{"key":"2025082712412363000_12.4.e229377.7","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3181dfbc05"},{"key":"2025082712412363000_12.4.e229377.8","doi-asserted-by":"crossref","first-page":"rjy165","DOI":"10.1093\/jscr\/rjy165","article-title":"Small bowel obstruction SBO after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report","volume":"2018","author":"Tagliaferri","year":"2018","journal-title":"J Surg Case Rep"},{"key":"2025082712412363000_12.4.e229377.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-014-1301-1"},{"key":"2025082712412363000_12.4.e229377.10","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31827e83af"},{"key":"2025082712412363000_12.4.e229377.11","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.1138"},{"key":"2025082712412363000_12.4.e229377.12","doi-asserted-by":"crossref","unstructured":"Jacob BP , Ramshaw B . Society of American Gastrointestinal Endoscopic Surgeons. The SAGES manual of hernia repair. New York: Springer, 2013:610.","DOI":"10.1007\/978-1-4614-4824-2"},{"key":"2025082712412363000_12.4.e229377.13","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1007\/s00464-011-2025-2","article-title":"Staple versus fibrin glue fixation in laparoscopic total extraperitoneal repair of inguinal hernia: a systematic review and meta-analysis","volume":"26","author":"Kaul","year":"2012","journal-title":"Surg Endosc"},{"key":"2025082712412363000_12.4.e229377.14","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.ijsu.2012.03.001","article-title":"A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in\u00a0laparoscopic inguinal hernia repair","volume":"10","author":"Sajid","year":"2012","journal-title":"Int J Surg"},{"key":"2025082712412363000_12.4.e229377.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-014-2547-6"},{"key":"2025082712412363000_12.4.e229377.16","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3857-3"},{"key":"2025082712412363000_12.4.e229377.17","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s00464-016-5039-y","article-title":"Fibrin glue versus staple for mesh fixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia: a meta-analysis and systematic review","volume":"31","author":"Shi","year":"2017","journal-title":"Surg Endosc"},{"key":"2025082712412363000_12.4.e229377.18","doi-asserted-by":"crossref","first-page":"e150","DOI":"10.1097\/SLE.0b013e31828b830d","article-title":"Tacks-free transabdominal preperitoneal (TAPP) inguinal hernioplasty, using an anatomic 3-dimensional lightweight mesh with peritoneal suturing: pain and recurrence outcomes-initial experience","volume":"23","author":"Ayiomamitis","year":"2013","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082712412363000_12.4.e229377.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.09.003"},{"key":"2025082712412363000_12.4.e229377.20","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/SLE.0000000000000214","article-title":"Staple Fixation Against Adhesive Fixation in Laparoscopic Inguinal Hernia Repair: A Meta-Analysis of Randomized Controlled Trials","volume":"25","author":"Li","year":"2015","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082712412363000_12.4.e229377.21","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1080\/21548331.2018.1500369","article-title":"Cost comparison of fibrin sealant versus tack screws for mesh fixation in laparoscopic repair of inguinal hernia","volume":"46","author":"Connolly","year":"2018","journal-title":"Hosp Pract"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:41:31Z","timestamp":1756323691000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019,4,23]]},"published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1136\/bcr-2019-229377"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229377","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}