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Massive Retroperitoneal Hematoma After Inguinal Hernia Repair Using Prolene® Hernia System: A Case Report
Takahisa Fujikawa1, Keiji Nagata1, Taisuke Matsuoka1
1Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Cureus
|September 11, 2023
Summary
Retroperitoneal hematoma can be a fatal complication after inguinal hernioplasty, especially in patients on warfarin. Surgeons should carefully manage bleeding risks or consider alternative surgical techniques.
Area of Science:
- Surgical complications
- Vascular surgery
- Hernia repair
Background:
- Retroperitoneal hematoma is a serious complication of procedures like femoral artery catheterizations.
- Warfarin therapy increases bleeding risk in surgical patients.
Observation:
- A case of massive retroperitoneal hematoma occurred after inguinal hernioplasty using Prolene® Hernia System mesh.
- The patient was undergoing warfarin therapy at the time of the procedure.
Findings:
- Inguinal hernioplasty in warfarin-treated patients poses a significant risk of preperitoneal hemorrhage.
- The Prolene® Hernia System mesh may be associated with this complication in anticoagulated patients.
Implications:
- Surgeons must exercise extreme caution to prevent hemorrhage during inguinal hernioplasty in patients on warfarin.
- Alternative surgical approaches, such as the Lichtenstein method or laparoscopic surgery, may be safer for these patients.
Keywords:
inguinal hernioplastypostoperative complicationpreperitoneal hematomaprolene hernia systemretroperitoneal hematoma
