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Complications - Incisional hernia repair, Dynamesh® – IPOM

  1. Intraoperative Complications

    • Intraoperative Bleeding

      During transfacial fixation, care must be taken to avoid injury to abdominal wall vessels, particularly the epigastric vessels. In the case of persistent bleeding due to staplers, a transperitoneal suture with a suture passer is recommended.
       
    • Bowel Injury During Adhesiolysis

      Deserosations must be identified and immediately oversewn.

      For transmural lesions, the location (small intestine - large intestine) and the amount of bowel content leakage are crucial; if necessary, postpone the mesh implantation for 4 - 7 days.

      In the case of massive stool leakage, conversion should be considered.
Postoperative Complications

Postoperative Bleeding/Hematoma/Pneumothorax Ultrasound monitoring, with possible aspiration if si

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