How are vascular injuries prevented during open inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Vascular injury is a less common but reported and potentially disastrous pitfall. It can be avoided by respecting the proximity of the femoral vessels, particularly when the mesh is being sutured to the inguinal ligament. [33] Hematoma formation can be due either to injury of the inferior epigastric vessels or to failure to ligate the superficial subcutaneous veins.


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