32 - Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

Poster Board Number: 32
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Co-authors:

Alejandro Quiroga-Garza - Universidad Autonoma de Nuevo Leon; Luis Alvarez-Lozada - Universidad Autonoma de Nuevo Leon; Luis Lozano-Carrillo - Universidad Autonoma de Nuevo Leon; Humberto Meléndez-Mondragón - Universidad Autonoma de Nuevo Leon

Abstract Body : Introduction: Inguinal hernias are the most common type of hernias in the groin, affecting 27% of the population, where men constitute upto 43% of the cases. The primary treatment for this condition typically involves a surgical procedure known as Transabdominal Preperitoneal Repair (TAPP). While this procedure is generally associated with low complication rates, one of the most common complications reported is Postoperative Small Bowel Obstruction (SBO), estimated to occur in approximately 0.2–0.5% of cases. Other possible complications may include insufficient closure of the peritoneum, herniation at the port site, adhesions, or peritoneal defects during the surgical dissection.

Clinical case: We describe a case of a 47-year-old male patient who underwent bilateral transabdominal preperitoneal repair for inguinal hernias and subsequently experienced postoperative complications, including the development of a hematoma and SBO, requiring a re-intervention that evidenced a peritoneal pocket hernia.

Conclusion: SBO and regional hematoma are infrequent but reported complications after TAPP surgery. It is crucial to emphasize the importance of using skilled surgical techniques and adhering to established guidelines in postoperative patient care to minimize the risk of these complications.