Complications - Open incisional hernia repair with retromuscular mesh augmentation - general and visceral surgery
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Intraoperative complications
Injury to hernia sac content
- e.g., bowel
- Treatment: Immediate suture
- Prevention: Careful dissection in layers, perhaps even starting dissection in an area without defect and then continuing from there to expose the fascial defect and hernia sac content.
Vascular injury
- particularly the epigastric vessels and their branches at the lateral margin of the rectus sheath
- Treatment: Immediate suture/hemostasis
Failed closure of the anterior rectus sheath
- Treatment: Ramirez procedure with separation of components or possibly bridging technique
Postoperative complications
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