What are the surgical complications and recurrence rates for abdominal inguinal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

In a study investigating complications during and after 780 laparoscopic inguinal herniorrhaphies in 569 patients, Coelho et al found that hernias recurred in 14 patients (2.5%) and that intraoperative complications occurred in 28 (4.9%), with extensive subcutaneous emphysema being the most common complication. [23]

Postoperative complications developed in 35 patients (6.2%). Small bowel perforation occurred in one patient, and bladder perforation occurred in another. [23] One cohort member developed an extensive, preperitoneal Mycobacterium massiliense infection. No cohort members died. The authors concluded that despite having a low mortality, laparoscopic inguinal herniorrhaphy can result in life-threatening complications.


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