Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature
CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considerin...
Ausführliche Beschreibung
Autor*in: |
Jesús Martínez-Hoed [verfasserIn] José Ángel Ortiz-Cubero [verfasserIn] Nicole Montagné-Bonilla [verfasserIn] José A Bueno-Lledó [verfasserIn] Salvador Pous-Serrano [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: International Journal of Abdominal Wall and Hernia Surgery - Wolters Kluwer Medknow Publications, 2020, 6(2023), 3, Seite 125-135 |
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Übergeordnetes Werk: |
volume:6 ; year:2023 ; number:3 ; pages:125-135 |
Links: |
Link aufrufen |
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DOI / URN: |
10.4103/ijawhs.ijawhs_13_23 |
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Katalog-ID: |
DOAJ099571757 |
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10.4103/ijawhs.ijawhs_13_23 doi (DE-627)DOAJ099571757 (DE-599)DOAJ7895c7d838b9466c95d6e4acf1b937da DE-627 ger DE-627 rakwb eng RD1-811 Jesús Martínez-Hoed verfasserin aut Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. abdominal hernia abdominal surgery abdominal wall intestinal obstruction Surgery José Ángel Ortiz-Cubero verfasserin aut Nicole Montagné-Bonilla verfasserin aut José A Bueno-Lledó verfasserin aut Salvador Pous-Serrano verfasserin aut In International Journal of Abdominal Wall and Hernia Surgery Wolters Kluwer Medknow Publications, 2020 6(2023), 3, Seite 125-135 (DE-627)1693121964 25898078 nnns volume:6 year:2023 number:3 pages:125-135 https://doi.org/10.4103/ijawhs.ijawhs_13_23 kostenfrei https://doaj.org/article/7895c7d838b9466c95d6e4acf1b937da kostenfrei http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=3;spage=125;epage=135;aulast=Martínez-Hoed kostenfrei https://doaj.org/toc/2589-8736 Journal toc kostenfrei https://doaj.org/toc/2589-8078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 3 125-135 |
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10.4103/ijawhs.ijawhs_13_23 doi (DE-627)DOAJ099571757 (DE-599)DOAJ7895c7d838b9466c95d6e4acf1b937da DE-627 ger DE-627 rakwb eng RD1-811 Jesús Martínez-Hoed verfasserin aut Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. abdominal hernia abdominal surgery abdominal wall intestinal obstruction Surgery José Ángel Ortiz-Cubero verfasserin aut Nicole Montagné-Bonilla verfasserin aut José A Bueno-Lledó verfasserin aut Salvador Pous-Serrano verfasserin aut In International Journal of Abdominal Wall and Hernia Surgery Wolters Kluwer Medknow Publications, 2020 6(2023), 3, Seite 125-135 (DE-627)1693121964 25898078 nnns volume:6 year:2023 number:3 pages:125-135 https://doi.org/10.4103/ijawhs.ijawhs_13_23 kostenfrei https://doaj.org/article/7895c7d838b9466c95d6e4acf1b937da kostenfrei http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=3;spage=125;epage=135;aulast=Martínez-Hoed kostenfrei https://doaj.org/toc/2589-8736 Journal toc kostenfrei https://doaj.org/toc/2589-8078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 3 125-135 |
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10.4103/ijawhs.ijawhs_13_23 doi (DE-627)DOAJ099571757 (DE-599)DOAJ7895c7d838b9466c95d6e4acf1b937da DE-627 ger DE-627 rakwb eng RD1-811 Jesús Martínez-Hoed verfasserin aut Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. abdominal hernia abdominal surgery abdominal wall intestinal obstruction Surgery José Ángel Ortiz-Cubero verfasserin aut Nicole Montagné-Bonilla verfasserin aut José A Bueno-Lledó verfasserin aut Salvador Pous-Serrano verfasserin aut In International Journal of Abdominal Wall and Hernia Surgery Wolters Kluwer Medknow Publications, 2020 6(2023), 3, Seite 125-135 (DE-627)1693121964 25898078 nnns volume:6 year:2023 number:3 pages:125-135 https://doi.org/10.4103/ijawhs.ijawhs_13_23 kostenfrei https://doaj.org/article/7895c7d838b9466c95d6e4acf1b937da kostenfrei http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=3;spage=125;epage=135;aulast=Martínez-Hoed kostenfrei https://doaj.org/toc/2589-8736 Journal toc kostenfrei https://doaj.org/toc/2589-8078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 3 125-135 |
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10.4103/ijawhs.ijawhs_13_23 doi (DE-627)DOAJ099571757 (DE-599)DOAJ7895c7d838b9466c95d6e4acf1b937da DE-627 ger DE-627 rakwb eng RD1-811 Jesús Martínez-Hoed verfasserin aut Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. abdominal hernia abdominal surgery abdominal wall intestinal obstruction Surgery José Ángel Ortiz-Cubero verfasserin aut Nicole Montagné-Bonilla verfasserin aut José A Bueno-Lledó verfasserin aut Salvador Pous-Serrano verfasserin aut In International Journal of Abdominal Wall and Hernia Surgery Wolters Kluwer Medknow Publications, 2020 6(2023), 3, Seite 125-135 (DE-627)1693121964 25898078 nnns volume:6 year:2023 number:3 pages:125-135 https://doi.org/10.4103/ijawhs.ijawhs_13_23 kostenfrei https://doaj.org/article/7895c7d838b9466c95d6e4acf1b937da kostenfrei http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=3;spage=125;epage=135;aulast=Martínez-Hoed kostenfrei https://doaj.org/toc/2589-8736 Journal toc kostenfrei https://doaj.org/toc/2589-8078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 3 125-135 |
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10.4103/ijawhs.ijawhs_13_23 doi (DE-627)DOAJ099571757 (DE-599)DOAJ7895c7d838b9466c95d6e4acf1b937da DE-627 ger DE-627 rakwb eng RD1-811 Jesús Martínez-Hoed verfasserin aut Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. abdominal hernia abdominal surgery abdominal wall intestinal obstruction Surgery José Ángel Ortiz-Cubero verfasserin aut Nicole Montagné-Bonilla verfasserin aut José A Bueno-Lledó verfasserin aut Salvador Pous-Serrano verfasserin aut In International Journal of Abdominal Wall and Hernia Surgery Wolters Kluwer Medknow Publications, 2020 6(2023), 3, Seite 125-135 (DE-627)1693121964 25898078 nnns volume:6 year:2023 number:3 pages:125-135 https://doi.org/10.4103/ijawhs.ijawhs_13_23 kostenfrei https://doaj.org/article/7895c7d838b9466c95d6e4acf1b937da kostenfrei http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=3;spage=125;epage=135;aulast=Martínez-Hoed kostenfrei https://doaj.org/toc/2589-8736 Journal toc kostenfrei https://doaj.org/toc/2589-8078 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2023 3 125-135 |
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In International Journal of Abdominal Wall and Hernia Surgery 6(2023), 3, Seite 125-135 volume:6 year:2023 number:3 pages:125-135 |
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Early small bowel obstruction following abdominal wall hernia repair: Report of four cases and systematic review of the literature |
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CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. |
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CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. |
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CONTEXT: Early small bowel obstruction (ESBO) is a recognized condition, but its treatment remains poorly defined. Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality. |
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Conservative management may be attempted during abdominal wall reconstruction (AWR), but this approach can result in complications such as intra-abdominal hypertension (IAH). Considering recent cases, we conducted a systematic review of the literature and screened our database for diagnoses and treatments. MATERIALS AND METHODS: We conducted a retrospective review of our database from 2018 to 2022, searching for cases of ESBO following hernia repair. We also included international literature in English and Spanish, according to PRISMA criteria, from 2010 to 2022, using the keywords “intestinal obstruction” and “hernia repair.”RESULTS: We identified four cases in total, with three involving incisional hernias and one involving a parastomal hernia. ESBO developed in a mean of 6 days due to adhesions. Emergency surgery was required in three cases due to IAH, which was resolved with an open abdomen. One patient died, and only two patients ultimately underwent hernia repair. In our systematic review, we found 26 articles describing 54 patients with ESBO, mostly due to adhesions following laparoendoscopic inguinal repairs. Obstruction occurred on average within 6.7 days, and 65% of patients were treated with surgery, with no mortality. CONCLUSIONS: ESBO following AWRs can result in severe complications, with adhesions being the most common cause and surgical re-intervention being frequent. Our cases revealed that difficulty in expanding the abdomen during ESBO after AWR may trigger postoperative IAH, which has not been described in the literature and can lead to significant morbidity and mortality.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">abdominal hernia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">abdominal surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">abdominal wall</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">intestinal obstruction</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">José Ángel Ortiz-Cubero</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Nicole Montagné-Bonilla</subfield><subfield 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