Operative complications: Avoiding them & managing them

Presented by Gina L Adrales at the Masters Series: AHS Joint Session – Ventral Hernia “It’s not just Hernia” held during the 2017 SAGES Annual Meeting in Houston, TX on Saturday, March 25, 2017

Keyword(s): abdominal wall, access injury, adhesiolysis, algorithm, anatomy, anesthesiology, bariatric, bioabsorbable mesh, biologic mesh, bleeding, blood pressure, BMI, body mass index, bowel, bowel injury, bowel obstruction, bowel stricture, Bupivicaine, capsule, cautery, chamomile, cognitive therapy, communication, comorbidities, complications, component separation, contaminated field, conversion, COPD, death, delayed repair, dissection, drain, enhanced recovery, enterotomy, epidural, epigastric hernia, epigastric injury, evidence based, experience, falciform ligament, fascia, fish oil, fitness, flaxseed, gastric bypass, ginger, glycemic control, HbA1c, hematoma, herbal supplements, hernia defect, incentive spirometer, incision, inflammation, injection, intestinal obstruction, intraperitoneal cultures, ischemia, Ketamine, laparoscopic approach, laparoscopic technique, Lidocaine, long-term follow-up, magnesium, malnutrition, management, medications, mesh, mesh fixation, mesh infection, midclavicular line, minimally invasive approach, monopolar, mortality, narcotics, obese, obstructive symptoms, omental bleeding, open access, open repair, open surgery, operative complications, operative notes, Optiview trocar, oversew, pain, Palmers point, peritoneal cavity, port, port site hernia, postoperative, preoperative, preoperative clinic, PTFE mesh, readmission, recurrent hernia, reoperation, retrorectus repair, risk factor, sage, saline drop test, sepsis, seroma, single center, skill set, skin, sleeve gastrectomy, SMART, smoking, spillage, SSI, staging surgery, subcostal margin, sublay, suprapubic hernia, surgical site infection, tacks, TAP block, thermal injury, tissue handling, towel clip, transfascial sutures, trocar, ultrasonic dissection, vascular injury, ventral hernia repair, Veress needle, VHR, visualization, washout, xiphoid hernia

Bleeding–1:36

Supplements that increase bleeding risk–3:12 Anesthesiology 2000

J Clin Anesth 2000

Anesth Analg 2001

World J Surg 2017

Bowel injury–4:24

Safe abdominal access–5:29 Cochrane Database Syst Review 2012

Meticulous adhesiolysis–8:05

Managment of bowel injury–10:14

Postop bowel obstruction–14:24

Early hernia recurrence–15:46

Contributing factors to hernia recurrence–16:24 Hernia 2004