Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

摘要

Preoperative and intraoperative images in Case 1. a CT shows right indirect inguinal hernia in prone position (white arrowheads). b A self-anchoring barbed suture device is used to close the peritoneal defect from the right side to the left. The residual tail is about 5 mm (white arrows). c Upon readmission due to vomiting on postoperative day 3, the CT scan shows a small bowel obstruction with possible volvulus of ileum (white arrows). d A small bowel obstruction with strangulation one month later (white arrowheads). e The tail of the barbed suture is much longer and the bowel segment is strangulated (white arrows). f The tail of barbed suture attached to the mesentery of the distal ileum (white arrowheads)