{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:27:06Z","timestamp":1787761626020,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Extended-view totally extraperitoneal repair (eTEP) is one of the recently introduced, advanced minimal access approaches for the repair of ventral hernias. Posterior sheath rupture (PRSR), though rare, is a lethal complication of eTEP, exposing the polypropylene mesh to the viscera. Few cases of PRSR have been reported following eTEP ventral hernia; however, delayed presentations as acute small bowel obstruction, has not been reported so far. We present the case of acute intestinal obstruction following eTEP ventral hernia repair after 10 months following the primary surgery. A 67-year-old female underwent laparoscopic eTEP repair for an incisional hernia using a polypropylene mesh of 20 cm \u00d7 15 cm without mesh fixation, along with anterior and posterior rectus sheath re-approximation 10 months ago. She presented in emergency with abdominal pain and constipation and obstipation for 2 days. Contrast-enhanced computed tomography of the abdomen and pelvis revealed interstitial hernia with dilated small bowel herniating till anterior rectus sheath with adhesions to the mesh through the posterior rectus sheath dehiscence. She was subjected for an emergency laparoscopic surgery. She had an uneventful recovery. Ventral hernia repair with mesh reinforcement in retrorectus plane is considered safer with maintained peritoneal integrity, reducing the risk of bowel obstruction and fistula formation as with an intraperitoneal mesh. There are few documented cases of posterior rectus sheath rupture as an early complication of eTEP, which exposes to similar risks of bowel obstructions. However, PRS rupture as delayed complication with bowel obstructions has not been documented. A high degree of clinical suspicion of PRS rupture must be kept post-ventral hernia repair in patients presenting with obstructive symptoms. We consider that poor muscle tone, strenuous activity and deep bending may cause PRS rupture.<\/jats:p>","DOI":"10.4103\/jmas.jmas_139_25","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:00:25Z","timestamp":1780916425000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Delayed posterior rectus sheath rupture presenting as intestinal obstruction: A case report and review"],"prefix":"10.4103","author":[{"given":"Sameer A.","family":"Rege","sequence":"first","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwij Bakulbhai","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"R1-20260608","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1007\/s00464-011-1993-6","article-title":"The enhanced view-totally extraperitoneal technique for repair of inguinal hernia","volume":"26","author":"Daes","year":"2012","journal-title":"Surg Endosc"},{"key":"R2-20260608","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s10029-022-02715-6","article-title":"Comment to: Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: Systematic review and meta-analysis","volume":"27","author":"Li","year":"2023","journal-title":"Hernia"},{"key":"R3-20260608","doi-asserted-by":"crossref","first-page":"7494","DOI":"10.1007\/s00464-022-09180-3","article-title":"Comparison of extended totally extra peritoneal (eTEP) versus intra peritoneal onlay mesh (IPOM) repair for management of primary and incisional hernia in terms of early outcomes and cost effectiveness-a randomized controlled trial","volume":"36","author":"Jain","year":"2022","journal-title":"Surg Endosc"},{"issue":"Suppl 7","key":"R4-20260608","doi-asserted-by":"crossref","first-page":"znac308.256","DOI":"10.1093\/bjs\/znac308.256","article-title":"V-004 redo ETEP approach for small bowel incarceration due to posterior sheath separation: An unusual complication","volume":"109","author":"Trujillo D\u00edaz","year":"2022","journal-title":"Br J Surg"},{"key":"R5-20260608","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s10029-008-0393-x","article-title":"Interparietal hernias after open retromuscular hernia repair","volume":"12","author":"Carbonell","year":"2008","journal-title":"Hernia"},{"key":"R6-20260608","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1177\/000313481608200736","article-title":"Interparietal hernia complicating retromuscular ventral hernia repair","volume":"82","author":"Davis","year":"2016","journal-title":"Am Surg"},{"key":"R9-20260608","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1007\/s00423-022-02561-1","article-title":"Robotic retromuscular abdominal wall repair using an inverted TEP (iTEP) approach: Surgical technique and short-term outcomes","volume":"407","author":"Olivier","year":"2022","journal-title":"Langenbecks Arch Surg"},{"key":"R10-20260608","doi-asserted-by":"crossref","first-page":"387","DOI":"10.4103\/jmas.jmas_177_23","article-title":"Strategies for closing the posterior rectus sheath during enhanced view totally extraperitoneal Rives-Stoppa repair","volume":"20","author":"Baig","year":"2024","journal-title":"J Minim Access Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_139_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:01:25Z","timestamp":1787760085000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_139_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":8,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_139_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]},"assertion":[{"value":"2025-04-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}