Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.
BMC Surg. 2021 May 1;21(1):227. doi: 10.1186/s12893-021-01225-z.
Preperitoneal herniation is a rare complication after transabdominal preperitoneal patch plasty (TAPP) and may be caused by inadequate peritoneal closure. We herein report two cases of postoperative small bowel obstruction due to preperitoneal herniation through a disrupted peritoneum.
Two men in their 70s were admitted to our center because of small bowel obstruction after TAPP. After examinations and unsuccessful conservative treatment, emergency laparoscopic exploration was performed. Preperitoneal herniation through the disrupted peritoneum was found. The herniated small bowel was reduced and the peritoneum was properly reclosed. The patients recovered and were discharged with normal bowel function.
Inadequate peritoneal closure may cause preperitoneal herniation and lead to postoperative small bowel obstruction and even death. Hernia surgeons can avoid this complication by improving their suture technique and paying attention to the procedure details.
腹膜前疝是经腹腹膜前修补术（TAPP）后一种罕见的并发症，可能是由于腹膜关闭不充分引起的。我们在此报告两例因破损的腹膜导致的术后小肠梗阻的腹膜前疝病例。
两名 70 多岁的男性因 TAPP 术后出现小肠梗阻而被收入我院。经过检查和非手术治疗失败后，行急症腹腔镜探查。发现破损的腹膜处有腹膜前疝。将疝出的小肠复位，并妥善关闭腹膜。患者恢复并出院，肠道功能正常。
腹膜关闭不充分可能导致腹膜前疝，并导致术后小肠梗阻甚至死亡。疝外科医生可以通过提高缝合技术和注意手术细节来避免这种并发症。
