Dr John C. Strachan
M.B.,ChB (Cape Town) M.MED (UOVS),FCS(SA)
General and Laparoscopic Surgeon
V.A.T NO: 4550255311
PR NO 4208544
INFORMED CONSENT FOR OPEN RECURRENT INGUINAL HERNIA REPAIR
GENERAL RISKS PERTAINING TO THE OPERATION
· Pain The healthcare team will give you medicine to control the pain.
· Bleeding during or after the operation. For males it is common for the groin, penis or scrotum to be bruised.
· Infection Infection of the surgical site might occur. Let the health team know if you get a high temperature, notice pus in your wound, or if your wound becomes red or painful.
· Scarring of the skin
· Blood clot in your leg. This can cause pain, swelling or redness in your leg.
·
SPECIFIC RISKS TO THE OPERATION
· Developing a lump under your wound caused by a collection of blood or fluid (seroma). This usually settles within a few weeks.
· Difficulty passing urine. You may need a catheter put into your bladder for 1 or 2 days if you are not able to pass urine before being discharged.
· Injury to structures that come from your abdomen and are within the hernia.
· Temporary weakness of your leg. This should improve within 2 days.
· Continued discomfort or pain in your groin.
· Injury to nerves that supply the skin around your groin, which leads to numb patch.
· Damage to blood supply of testicle (in males). Your testicle on the same side as the operation may shrink and not work. The testicle may need to be removed.
ACKNOWLEDGEMENT AND CONSENT FOR OPERATION
I acknowledge that I have read and understand the risks associated with an Open Recurrent Inguinal Hernia Repair.
I understand:-
· My medical condition, the proposed procedure to be undertaken & alternative treatments that may exist pertaining to my condition.
· I understand I have the right to change my mind at any time following a discussion with Dr Strachan and his staff.
· I consent to the operation being performed.
Name of patient:……………………………………………………………….
Signature …………………………………………………………………..
Date …………………………………………………………………………