Page 47 - herina surgery and possible lawsuits

C o m p lica tio n s o f o p en h e rn ia su rg ery

Form the inception of the hernia surgery the complications well reported. The drive to reduce

the complication had made the innovations m the hernia surgery. The complications have
multi factorial etiology and some had reduced its incidence but still exist Use of prosthesis in
hernia surgery had reduce the recurrence to a minimal level but have open the new frontier to

research on better outcome of pain. The complications of henna surgery' arc technique and
technology related.

Below table will show the morbidity related to hernia surgeries in general, specific

complications attributed in details later.

Table 8: General complications of inguinal hernioplasty

Operative Early Later

Incision Bruising, Hematoma Infection Chronic sepsis &
Sinus formation
Scrotum Genital edema

Orchitis / Atrophy
Technique i
Open Vas injury Hydrocele Recurrence & Pain

Nerve Injury
Laparoscopic As above and Hydrocele Port site hernias

Vascular injuries, Seroma Recurrence pain
Visceral Injuries
Systemic General & Local Chest Infection
Anesthesia Urinary infection

Venous thrombosis

Wound related Complications:
Infection is major complication in all surgery so as the hernia surgery.
• Eduardo Bassini’s ongrnal tnple-layer repair (1889) had shown wound infection 4% [63].

• The commonest organisms for wound infection are staphylococcus aureus and
Staphylococcus epidermidis.
• Minor bruise or erythema occurs in 3%, wound infection 3% and wound hematoma 1% in
hospital record but on community surveillances it was found to be 4 time higher rate. [86]

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