Sartori A, De Luca Marco, Clemente N, De Luca Alberto, Scaffidi G, Piatto G, Noaro G, Campagnaro C
G Chir. 2019 Jul-Aug;40(4):322-324.
Groin hernioplasty is the most performed intervention in the adults worldwide. Small bowel occlusion after hernioplasty with anterior approach is an unusual complication because the peritoneum is not opened during this procedure. However during TAPP the closure of the peritoneal flap is mandatory. In literature some cases of small bowel occlusion related to the barbed suture for the closure the peritoneum are reported.
Here we describe a case of a 64-year old male with small bowel obstruction after TAPP caused by the barbed suture used for peritoneal closure.
Intrabdominal use of self-anchoring suture is controversial. Some studies reported good results by using this device, while others from gynecologists describe bowel occlusion and volvulus caused by barbed suture.
Self-anchoring device is innovative and reduces operation time. It is most important to know the correct use of this device to reduce some possible troubles.
腹股沟疝修补术是全球范围内成人中实施最多的手术。前路疝修补术后小肠梗阻是一种不常见的并发症，因为在此手术过程中不打开腹膜。然而，在完全腹膜外腹腔镜疝修补术（TAPP）中，关闭腹膜瓣是必不可少的。文献中报道了一些与用于腹膜关闭的倒刺缝线相关的小肠梗阻病例。
在此，我们描述一例64岁男性在TAPP后因用于腹膜关闭的倒刺缝线导致小肠梗阻的病例。
腹腔内使用自锚定缝线存在争议。一些研究报告使用该装置取得了良好效果，而其他妇科医生的研究则描述了倒刺缝线导致的肠阻塞和肠扭转。
自锚定装置具有创新性且可缩短手术时间。了解该装置的正确使用方法以减少一些可能的问题非常重要。
