- Intraoperative bleeding
- Bowel injury
In case of accidental iatrogenic bowel injury during the procedure the lesion should be immediately closed by suture!
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Intraoperative complications
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Postoperative complications
Overlooked bowel lesion
Clinical signs: Patient does not recover from surgery, suffers from abdominal pain, nausea, guarding, and displays symptoms of peritonitis.
Treatment: Revision surgery identifying the bowel lesion and closure by suture, possibly bowel resection. Peritonitis treatment
Postoperative bowel paralysis
Treatment: Administer prokinetic medication such as metoclopramide, neostigmine.
Manifest ileus
Clinical signs: Abdominal guarding and tenderness; free intraperitoneal gas on abdominal film; possibly elevated lactate on lab panel.
Treatment: Revision surgery, identifying and managing the cause.
Chronic pain
Treatment: NSAIDs
Wound infection
Treatment: Initially nonsurgical with antibiotics; if not controlled with antibiotics, and in case of failure or no response to nonsurgical treatment: Reoperation
Hematoma
Treatment: Ultrasound monitoring; if growing in size possibly centesis or revision.
Recurrence
Treatment: If growing in size possibly revision surgery with mesh implant.
Necrosis of umbilical skin (< 0.1%)