Complications - Spigelian hernia, laparoscopic

  1. Intraoperative Complications

    • Intraoperative Bleeding

      During trans-fascial fixation, care must be taken to avoid injury to abdominal wall vessels, particularly the epigastric vessels. In the case of persistent bleeding due to tacks, a trans-parietal 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 later. In the case of massive stool leakage, conversion should be considered.
       
Postoperative complications

Bleeding/Hematoma Ultrasound monitoring, puncture if size progresses. Hemoglobin-relevant bleeding

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