Indirect hernias are congenital hernias, that is, they are present at birth. The National Institute of Diabetes and Digestive and Kidney Diseases states that these are much more common in males than in females. It occurs when the entrance of the inguinal canal at the inguinal ring does not close just after birth. This causes a weakness in the abdominal walls and fat or a part of the small intestine may slide into the inguinal canal. Indirect hernia repair surgery can help push the bulging tissue back in and strengthen the abdominal wall, though some complications can arise.
Recurrence of Hernia
The website Encyclopedia of Surgery reports that the recurrence of the hernia is a complication of indirect hernia surgery, with the chances of the hernia recurring being 10 to15 percent. An additional surgery is required in such cases. When the hernia recurs, however, the surgeon has to work around both the recurrent hernia and the scar tissue present. This makes the surgical repair more difficult than the first which increases the chances of further complications.
Injuries to Body Organs
Another complication of indirect hernia operation is injuries, states Encyclopedia of Surgery. Injuries may occur to the spermatic cord structure. The bladder or bowel may also be harmed. It is also possible that some nerves may get severed or entrapped. This can cause paralysis or loss of movement. If any veins or arteries in the area are injured during the operation, it may cause hemorrhage or bleeding.
Bleeding
The National Institute of Diabetes and Digestive and Kidney Diseases reports that bleeding can also occur inside the incision which can cause severe swelling and bluish discoloration. This may need an additional surgery in which the incision is opened to stop the bleeding.
Other Complications
Infection of the surgical incision may occur as a complication of indirect hernia operation. If it does happen, the individual may have fever, discharge, redness, swelling or tenderness around the incision. Another complication is pain in the area after the incision has healed. This painful scar usually resolves with time; however, it may be necessary to inject medication into the area if the pain does not go away. Systemic complications that may occur with this surgery include cardiac arrest or irregular heartbeat. Lung problems, urinary retention or urinary tract infections may also occur.
