[Arterial complications of inguinal surgery: value of vein replacement in situ (author's transl)].
Two cases of arterial complications after inguinal hernia repair were revealed by a post-operative septic hemorragia and in the other case by a late intermittent claudication complicated by a distal emboly. Both were cured by replacement of the damaged artery with an autologous saphena. Twenty-three similar cases were found in literature. They were discovered either during operation, or post-operatively, or after recovery. In post-operative course, a late diagnosis in some cases lead to amputations or death. Actual treatment is arterial replacement by autologous vena because the length of arterial damagement and good resistance of vena in septic area. Prevention during inguinal hernia repair needs a correct exposure, the use of small needles and widening of the exposure in case of hemorragia.
D000368:Aged; D001158:Arteries / Q000601:surgery; D002648:Child; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000637:transplantation; D014182:Transplantation, Autologous; D014652:Vascular Diseases / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*
Complications artérielles de la chirurgie inguinale. Intérêt du remplacement veineux in situ.