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Fig. 2 | Surgical Case Reports

Fig. 2

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

Fig. 2

Preoperative and intraoperative images in Case 2. a The CT shows a right direct inguinal hernia in the prone position (white arrowheads). b The self-anchoring barbed suture device is used to close the right inguinal peritoneal defect from the left side to the right. The residual tail is less than 1 cm (white arrows). c The patient was readmitted with unremitting abdominal pain on postoperative day 10. There is obvious edema of small intestine, possibly volvulus of the ileum (red arrows). d Free air and ascites in the abdominal cavity, indicating perforation of the small intestine (white arrowheads). e The tail of the barbed suture is much longer and has inserted into the small intestine (white arrows). f After release of redundant barbed suture and removal of the tail of the barbed suture the perforated small intestine is closed with 2 stitches (white arrowheads)

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