Inguinal hernia repair in the anticoagulated patient: a retrospective analysis

Sanders, Dawn; Shahid, M. K.; Ahlijah, Bennett; Raitt, James; Kingsnorth, Andrew

doi:10.1007/s10029-008-0405-x

Cited by 24 publications

(14 citation statements)

References 13 publications

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“…Of note, the percentage of patients taking anticoagulation or antiaggregant therapy was relatively high in our group (13.5%), perhaps related to the elevated median age of our patients (65 years old). Of 35 patients under anticoagulant or antiaggregant therapy, two patients (6%) required surgical management for their hematoma, similar to the 8% rate found in one series of patients undergoing operation while under antivitamin K medication with an INR index less than 3 [17]. This complication was never life-threatening and therefore does not constitute a contra-indication to ambulatory surgery.…”

Section: Discussionsupporting

confidence: 64%

Ambulatory groin and ventral hernia repair

Ngo

Pélissier

Levard

et al. 2010

Journal of Visceral Surgery

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Section: Discussionsupporting

confidence: 64%

Ambulatory groin and ventral hernia repair

Ngo

Pélissier

Levard

et al. 2010

Journal of Visceral Surgery

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“…It is well-established that postoperative anticoagulative measures are imperative, due to the increased risk of thromboembolic disease 12. However, balancing these risks of thromboembolism against surgical bleeding remains an ongoing challenge in current surgical practice.…”

Section: Discussionmentioning

confidence: 99%

Spigelian hernia and pitfalls of postoperative anticoagulation

2017

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Spigelian hernias are a rare lateral ventral abdominal hernia that carry a high risk of strangulation due to their smaller sizes, and require surgical intervention. In more complex cases involving an anticoagulated patient, perioperative management of anticoagulation must be monitored and reviewed to avoid potential pitfalls. We present an 81-year-old woman who presented with right groin pain, and was requiring warfarin anticoagulation due to her cardiac history. The spigelian hernia was diagnosed and reduced laparoscopically, and the defect was repaired and reinforced by mesh. However, the patient suffered from catastrophic complications postoperatively related to her anticoagulation management. Spigelian hernias require surgical interventions. However, in an anticoagulated patient with significant comorbidities, perioperative anticoagulation needs to be closely monitored to balance the risk of thromboembolic disease with acceptable postoperative bleeding risks.

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“…Sur 35 patients sous traitement anticoagulant ou antiagrégant, il y a eu deux hématomes (6 %) qui ont nécessité une évacuation chirurgicale. Ce pourcentage est comparable à celui de 8 % qui a été observé sur une série de patients opérés sous antivitamine K avec un INR inférieur à trois [17]. Ces hématomes n'ont entraîné que deux réadmissions et n'ont pas mis les patients en danger, par conséquent, le traitement anticoagulant ne semble pas constituer une contre-indication à l'ambulatoire.…”

Section: Discussionunclassified