Skip to main content
Log in

Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Laparoscopic techniques are now commonly used for the repair of inguinal hernias, since they offer rapid postoperative recovery and low complication rates. These methods usually involve the use of sutures, staples or titanium spiral tackers for safe, secure mesh fixation. We report a rare case of obstruction and perforation of the small bowel resulting from a band adhesion caused by a displaced spiral tacker.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. National Institute for Clinical Excellence (2004) Laparoscopic surgery for inguinal hernia repair. http://www.nice.org.uk/TA083guidance

  2. Bittner R, Oberg E, Jacobsen B, Rosenberg J (2005) Chronic pain and recurrence after laparoscopic inguinal herniorrhaphy. Surg Laparosc Endosc Percutan Tech 15(3):269–270

    Google Scholar 

  3. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A (2005) Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess Rep 9(14):1–203

    CAS  Google Scholar 

  4. McCormack K, Scott NW, Go PM, Ross S, Grant AM (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane database of systematic reviews (Online) 1, CD001785, 70

  5. Ridings P, Evans DS (2000) The transabdominal pre-peritoneal (TAPP) inguinal hernia repair: a trip along the learning curve. J R Coll Surg Edinb 45(1):29–32

    PubMed  CAS  Google Scholar 

  6. Bringman S, Blomqvist P (2005) Intestinal obstruction after inguinal and femoral hernia repair: a study of 33,275 operations during 1992–2000 in Sweden. Hernia 9(2):178–83

    Article  PubMed  CAS  Google Scholar 

  7. Binenbaum SJ, Goldfarb MA (2006) Inadvertent enterotomy in minimally invasive abdominal surgery. J Soc Laparoendosc Surg 10(3):336–340

    Google Scholar 

  8. Hollinsky C, Gobl S (1999) Mesh fixation with the helical fastener in laparoscopic herniorrhaphy: initial results. Surg Laparosc Endosc 9(2):110–114

    Article  CAS  Google Scholar 

  9. Hollinsky C, Gobl S (1999) Bursting strength evaluation after different types of mesh fixation in laparoscopic herniorrhaphy. Surg Endosc 13(10):958–961

    Article  PubMed  CAS  Google Scholar 

  10. Lantis JC 2nd, Schwaitzberg SD (1999) Tack entrapment of the ilioinguinal nerve during laparoscopic hernia repair. J Laparoendosc Adv Surg Tech 9(3):285–289

    Article  Google Scholar 

  11. Ladurner R, Mussack T (2004) Small bowel perforation due to protruding spiral tackers: a rare complication in laparoscopic incisional hernia repair. Surg Endosc 18(6):1001

    PubMed  CAS  Google Scholar 

  12. Karahasanoglu T, Onur E, Baca B, Hamzaoglu I, Pekmezci S, Boler DE, Kilic N, Altug T (2004) Spiral tacks may contribute to intra-abdominal adhesion formation. Surg Today 34(10):860–864

    Article  PubMed  Google Scholar 

  13. Bell RCW, Price JG (2003) Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh. Surg Endosc 17(11):1784–1788

    Article  PubMed  CAS  Google Scholar 

  14. Olmi S, Erba L, Bertolini A, Scaini A, Croce E (2006) Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair: indications, technique, and outcomes. Surg Endosc 20(12):1846–1850

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G. Peach.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peach, G., Tan, L.C. Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair. Hernia 12, 303–305 (2008). https://doi.org/10.1007/s10029-007-0289-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-007-0289-1

Keywords

Navigation