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Open versus endoscopic Hernia repair.

 

Possible complications after endoscopic hernia repair .

No surgeon can rule out any intra-operative or post-operative complications but a knowledge of the anatomy, advanced skills and experience of the surgeon will definitely reduce the chance of having a complication to almost Zero %.

Complications are divided into intra-operative and post-operative complications.

Intra-operative complications are for example, bleeding or injuries of the neighbouring structures.

Post-operative complications are for example:

  • Seroma (clear fluid after surgery) formation.
  • Hematoma (solid swelling of clotted blood) formation.
  • Urinary retention 1.5%–4% especially in elderly patients with prostatism.
  • Neuralgia (intermittent pain along the course of the nerve) about 0.5%-4%.
  • Testicular pain and swelling about 0.9%-1.5%.
  • Mesh infection and wound infection (very rare).
  • Consequences of the intra-operative injuries.

Complication of the open technique are nearly the same, In our opinion, non of the above is considered a major complication and should not deter the patient from considering the operation.  

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