Small bowel obstruction owing to displaced spiral tack after laparoscopic TAPP inguinal hernia repair.

Laparoscopic repair of inguinal hernias has become a widely accepted technique owing to its safety, efficacy, and patient satisfaction. Laparoscopic inguinal herniorrhaphies, such as the transabdominal preperitoneal (TAPP) and the totally extraperitoneal approaches, usually employ a method of fixation involving staples, titanium spiral tacks, or sutures to secure the mesh over the myopectineal orifice. The TAPP approach also requires closure of the peritoneal flap to exclude the mesh from the intraabdominal contents.