It was reported to boston scientific corporation that an advantage system and a non-boston scientific y-mesh system devices were implanted into the patient during a procedure performed on (b)(6) 2018.After the procedure, the patient experienced chronic constipation.She had a history of multiple pelvic surgeries and presented with symptoms of nausea, vomiting, and abdominal pain, and computed tomography (ct) imaging revealed concerns of small bowel obstruction versus constipation.Non-operative management did not work, and the patient continued to have signs and symptoms of obstruction.As a result, on december 1, 2022, the patient underwent a lysis of adhesions, exploratory laparotomy, and small bowel resection procedure.During the procedure, the surgeon observed that the distal part of the small intestine was adhered in the pelvis and the small bowel proximal to it was significantly enlarged.As the adhesion could not be accessed laparoscopically, the surgeon decided to convert to an open approach.Additionally, the distal small bowel was found to be entrapped under the mesh that extended from the patient's vaginal cuff to her sacral promontory.It was observed that the small bowel proximal to the adhesion was ischemic.Consequently, around 20 cm of small bowel was removed using a gastrointestinal (gia) stapler.The mesentery was taken down using clamps and silk ties, and a side-to-side stapled anastomosis was completed.The surgeon grasped and cut one corner of each staple line of the proximal and distal limbs of the small bowel.The blue and white interlocking halves of the stapler were placed in each hole, and the anastomosis was created with a blue load.The surgeon confirmed intraluminal hemostasis after the procedure.The remaining hole was then closed using babcock and allis clamps.The blue stapler was used to seal the defect, ensuring that the serosa and mucosa were entirely within the stapler.The staple line was evaluated, and hemostasis was confirmed.The antimesenteric borders of the anastomosis were approximated using a 2-0 silk suture.The bowel was then returned to the peritoneal cavity.The rest of the small bowel was examined from the ligament of treitz to the cecum and found to be normal.The patient was extubated without complications and was taken to the post-anesthetic unit in stable condition.
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