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Major Bleed Post Minimally Invasive Surgical Repair of Inguinal Hernia
Anupam K Gupta1, Monica I Burgos2, Antonio J Santiago Rodriguez3
1Minimally Invasive Surgery, University of Miami Hospital, Miami, USA.
Cureus
|September 24, 2020
Summary
Minimally invasive inguinal hernia repair using robotic assistance can lead to rare but serious postoperative bleeding. This analysis aims to identify factors causing bleeding to improve patient safety during these procedures.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Annually, over 200 minimally invasive inguinal hernia repairs are performed using laparoscopy and robotic assistance.
- Robotic-assisted surgery offers potential benefits in minimally invasive procedures.
Observation:
- Three patients with uncomplicated indirect inguinal hernias experienced postoperative bleeding after robotic-assisted repair.
- These patients developed tachycardia, hypotension, and a drop in hemoglobin levels.
Findings:
- Surgical re-exploration was required emergently in these three patients due to bleeding.
- The study analyzes the factors contributing to these bleeding complications.
Implications:
- Increased awareness of potential bleeding complications is crucial for surgeons performing robotic-assisted inguinal hernia repairs.
- Identifying causative factors can help prevent future occurrences and improve patient outcomes.
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