- Intraoperative Bleeding
Especially of the epigastric vessels or their branches at the lateral edge of the rectus sheath
Therapy: immediate ligation/hemostasis
- Intestinal injury during adhesiolysis
Prophylaxis: Careful, layer-by-layer preparation, if necessary start preparation in the defect-free area, from there display the fascial defect and the hernia content. Early opening of the hernia sac.
Deserosalizations must be recognized and immediately oversewn.
In transmural lesions, the location (small intestine-colon) and the amount of intestinal content leakage are decisive, if necessary postpone mesh implantation.
- Inability to close the anterior rectus sheath
Therapy: TAR (transversus abdominis release), abdominal wall component separation according to Ramirez or if necessary bridging technique
-
Intraoperative Complications
Postoperative Complications
Postoperative Bleeding/Hematoma Ultrasound control, in case of size progression possibly puncture.
Postoperative Bleeding/Hematoma Ultrasound control, in case of size progression possibly puncture.
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