Management of Scrotal Hematoma and Microsurgical Vasovasostomy Following Right Herniotomy: A First Case.
DOI:
https://doi.org/10.54361/LJMR.20.1.09Keywords:
scrotal hematoma, vas deferens injury, microsurgical vasovasostomy, complications of hernia repairAbstract
This article details the case of a 2-year-old male who developed a scrotal hematoma after a standard right herniotomy. Preliminary conservative measures proved inadequate, necessitating surgical evacuation. A vas deferens injury was identified during the procedure, requiring microsurgical vasovasostomy to repair the disruption and preserve fertility. Postoperative hemorrhage, an uncommon but reported complication in pediatric herniotomies, occurs in roughly 1.5%–5% of cases, as indicated in the literature. This case underscores the challenges of managing uncommon complications in pediatric hernia procedures and highlights the importance of microsurgical proficiency.
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