The prevention and treatment of vascular injury complications in complicated abdominal wall hernia surgery

doi:10.3877/cma.j.issn.1674-392X.2024.06.004

Abstract

Abstract:

Complex abdominal wall hernias represent a significant challenge in hernia surgery,primarily due to factors such as multiple prior surgeries in the hernia area, recurrent hernias, giant hernias,or associated infections.The incidence of vascular injury is notably higher in these surgeries.Vascular injury can directly lead to intraoperative bleeding, hemorrhagic shock, and even death, and may also result in postoperative complications such as hematomas and vascular embolism.Therefore, it is crucial to understand the characteristics of complex abdominal wall hernias, identify the high-risk factors for vascular injury, recognize the common sites of injury, and be familiar with the vascular anatomy of the surgical region.Proper protection and identification of vessels, along with preoperative risk assessment, effective intraoperative prevention, and timely postoperative management, are essential for reducing the incidence of vascular injury and its associated complications.

Key words: Complex abdominal wall hernia, Surgical complications, Vascular injury, Prevention, Management

Xuehu Wang, Yu Zhao. The prevention and treatment of vascular injury complications in complicated abdominal wall hernia surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 616-619.

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