Swollen scrotum
Divided into hematoma and edema, the reason is that the intraoperative hemostasis is not complete, the wall of the hernia sac continues to secrete fluid, and there is a certain gap between the mesh and the transverse abdominal fascia or the outer membrane, which is easy to cause hematoma or edema. The prevention method is fine dissection during the operation, complete hemostasis, the small hernia sac is not dissected, and the stump of the large hernia sac is fully opened after the dissociation of the large hernia sac, so that the secreted fluid can flow out and be absorbed subcutaneously or peel off the distal hernia sac as much as possible, but The problem of postoperative testicular ischemia and atrophy should be considered; intraoperative hemostasis is very important, and postoperative pressure is urgent for 6-12 hours.
Incision seroma
Refers to the early biological reaction of biological materials in the body after surgery, which is manifested as an acute non-bacterial inflammatory reaction in the surgical field, leading to tissue edema and effusion in the surgical field. With the development of material technology, it has rarely occurred in clinical practice; Measures: Early use of hormones, anti-allergic, and external application of hypertonic fluid.
Local lumps and foreign body sensation
Causes include inadequate fixation of the mesh plug leading to postoperative protrusion or partial protrusion; intraoperative mesh curling; fibroblasts entering the mesh or mesh plug can cause local lumps; short-term mechanical absorption of postoperative hematoma; but with time The passage of time can disappear.
Stubborn pain
reason:
①Injury or traction or lower iliac abdomen N, iliac groin N, reproductive thigh N;
② Suture on the periosteum of the pubic bone;
③ Neuroma is formed after N cut.
Prevention: Carefully dissect, identify N and protect it; the suture of the mesh and pubic tubercle should be in the fascia, not too deep to suture the periosteum.
Hernia recurrence
It should be distinguished from recurrence of hernia; reasons:
①Improper management of chronic abdominal hypertension is a common factor;
②Improper cutting of the mesh;
③There are problems with surgical technique.
Precaution:
①Keep the patient awake during the operation. Cough or bulge can help to judge whether the position of the mesh plug is appropriate, and it can also help to find other hernias;
② The position of the patch should be correct, the round end should exceed 2cm of the pubic tubercle, and can only be sutured with the fascia of the nodule;
③To prevent the patch from shrinking, the fixation must be in place and suture with a micro bridge thread
Orchitis and testicular atrophy
Mainly damage the spermatic cord and testicular artery.
prevention:
①Don't free the spermatic cord too much;
② Don't forcefully remove the entire hernia sac for large hernia sacs.
Therefore, it is recommended that patients must be cautious when choosing treatment methods.
