The causes analysis and management of the complications after tension free inguinal hernia repair        MA Rui, YANG  Fu-quan, Zhang Shun, et al. Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China
Corresponding author: YANG Fu-quan, E-mail: yangfq@sj-hospital.org.
Abstract    Objective    To investigate the causes and treatment of complications after tension-free inguinal hernia repair. Methods    The clinical data of 18 patients with complications of tension-free inguinal hernia repair who underwent treatment between June 2005 and December 2011 at Shengjing Hospital, China Medical University were investigated retrospectively. Results    Among all patients, 8 patients recurred including 1 patient performed TEP method repair, 1 patient used mesh plug, 1 patient performed Lichtenstein repair and 5 patients performed preperitoneal repair. Three patients with infection included 2 patients with the patch infection and 1 patient with the suture infection. Two patients with pain included 1 patient performed mesh-plug repair and 1 patient performed Lichtenstein repair with polypropylene. Two patients had severe scrotal seroma. One patient had wound hematoma. One patient had scrotal hematoma after TEP. One patient had intestinal obstruction.  Conclusion    Complications of tension-free inguinal hernia repair are less than the traditional repair, but to improve surgeon’s technique and standard operation for the low complication incidence are still significant.