PFD Week 2016-Small Bowel Obstruction Following Internal Herniation Through Peritoneal Defect: A Rare Complication of Laparoscopic Sacrocolpopexy

Small Bowel Obstruction Following Internal Herniation Through Peritoneal Defect: A Rare Complication of Laparoscopic Sacrocolpopexy

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Video Transcription

Video Summary

The video discusses two rare cases of small bowel obstruction following a laparoscopic sacrocopalpexy procedure. The first case involves a 55-year-old woman who experienced abdominal pain, nausea, and vomiting after the surgery. CT scans revealed a small bowel obstruction caused by an internal hernia and peritoneal defect. The patient underwent a diagnostic laparoscopy, during which the twisted bowel was released and inspected for any damage. In the second case, an 80-year-old woman presented with similar symptoms and CT scans showed a small bowel obstruction caused by entrapment under the sacrocopalpexy mesh. The patient underwent a laparotomy, mesh revision, and small bowel resection. Both patients had successful recoveries. The video highlights the importance of considering closure technique and mesh burial during sacrocopalpexy surgeries to prevent GI complications.

Asset Subtitle

Lindsey Hahn, DO

Meta Tag

Category Complications

Category Anatomy

Category Surgery - Laparoscopic Procedures

Concept Minimally Invasive Sacrocolpopexy

Concept Small Bowel Obstruction

Concept Internal Hernia

Concept Volvulus

Concept Mesh Retroperitonealization

Keywords

small bowel obstruction

laparoscopic sacrocopalpexy procedure

internal hernia

peritoneal defect

mesh entrapment

Complications

Anatomy

Surgery - Laparoscopic Procedures

Minimally Invasive Sacrocolpopexy

Small Bowel Obstruction

Internal Hernia

Volvulus

Mesh Retroperitonealization