Small bowel injury is a serious complication of laparoscopic surgery. Average small bowel injury in laparoscopic surgery is 0.13 per cent, the incidence of laparoscopy surgery induced bowel injury is small in size and such injury is usually not discovered during the laparoscopic operation. Most of the time patient return back to hospital after two days of the surgery. Nevertheless, laparoscopy-induced bowel injury is associated with a high mortality rate of 3.6 per cent. Increase pain and symptoms of peritonitis should be kept in mind and surgeon should take the patient in emergency.
The father of two grown-up daughters, suffered from peritonitis, gastroenteritis, septicemia, pneumonia and a lung abscess after laparoscopic hernia surgery. Consultant laparoscopic surgeon, told the coroners court in Middlesbrough: As far when i was aware the laparoscopic hernia surgery was entirely uneventful and there was not any complication of involvement from the small bowel at the same time.
According to the laparoscopic surgeon in the past five years this is actually the only case that a small bowel perforation has happened within my hands. He agreed the condition was almost always fatal otherwise picked up quickly. Independent pathologist said the inquest which heard testimonies from eight medical witnesses, had given him a clearer knowledge of the way the events linked together as medical notes he had seen were incomplete.
Laparoscopic hernia surgery is a minimally invasive surgical procedure used to repair hernias. The procedure involves the insertion of a small camera and surgical instruments through small incisions in the abdomen. Laparoscopic hernia surgery has become a popular alternative to traditional open surgery due to its shorter recovery time and reduced risk of complications. However, as with any surgical procedure, there is a risk of complications associated with laparoscopic hernia surgery. In this essay, we will discuss the complications of laparoscopic hernia surgery and how to prevent them.
Complications of Laparoscopic Hernia Surgery:
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Infection: Infection is a common complication of any surgical procedure, including laparoscopic hernia surgery. The risk of infection can be reduced by following strict sterile techniques during the procedure and using antibiotics prophylactically.
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Bleeding: Laparoscopic hernia surgery can cause bleeding, which can be minimized by careful dissection of tissue and using cautery to control bleeding.
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Nerve Damage: Nerve damage can occur during laparoscopic hernia surgery, which can cause numbness or pain in the affected area. This can be minimized by careful dissection and avoiding excessive pressure on nerves.
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Adhesions: Adhesions can form after laparoscopic hernia surgery, which can cause pain and bowel obstruction. This can be minimized by careful dissection and avoiding excessive handling of tissues.
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Recurrence: Hernia recurrence can occur after laparoscopic hernia surgery, which can be due to inadequate repair of the hernia or technical errors during the procedure.
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Mesh Complications: The use of mesh to reinforce the hernia repair can cause complications, including infection, migration, and erosion.
Prevention of Complications:
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Proper Patient Selection: Laparoscopic hernia surgery should be performed only on patients who are suitable candidates for the procedure. Patients with complex hernias or those with a high risk of complications should be referred to a specialist for treatment.
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Proper Technique: Laparoscopic hernia surgery should be performed by experienced surgeons who are familiar with the technique and use proper sterile techniques and instrumentation.
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Adequate Mesh Placement: Proper placement and fixation of the mesh are critical to preventing hernia recurrence and mesh complications.
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Proper Follow-up: Patients should be followed up after surgery to monitor for complications and ensure proper healing.
Conclusion:
Laparoscopic hernia surgery is a minimally invasive alternative to traditional open hernia repair. The procedure offers numerous benefits, including shorter recovery time, reduced pain, and lower risk of complications. However, as with any surgical procedure, there is a risk of complications associated with laparoscopic hernia surgery. The risk of complications can be minimized by following proper surgical technique, using appropriate instrumentation and antibiotics prophylactically, and ensuring proper follow-up and care. By taking these steps, surgeons can minimize the risk of complications and ensure the best possible outcomes for their patients.
