Highlights
Transoesophageal echocardiography (TOE) is considered as a safe and non-invasive procedure.
Complications include odynophagia, upper gastrointestinal haemorrhage, endotracheal tube malpositioning and dental injury.
One of the rarer complications includes oesophageal perforation.
A high index of suspicion is crucial, particularly if there was a struggle in introducing the TOE probe.
Prompt diagnosis and vital investigations are crucial in order to advocate the early management of patients.
Conservative management may be worthwhile in a stable patient despite delayed presentation.
Highlights
Transfascial suture passer has been traditionally used to perform primary fascial closure in laparoscopic IPOM hernia repair.
We propose a novel alternative to suture passer in primary fascial closure by using large-bore intravenous (IV) cannula.
The advantage of using IV cannula is that it is widely available and requires a lower insertion force.
This is the first published report on using IV cannula as an alternative to suture passer for fascial closure in laparoscopic IPOM repair.
This technique is easily reproducible and does not violate the principles of primary fascial defect closure.
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