Transadominal suture technique in closing pseudohernia sac of direct hernia for seroma prevention after laparoscopic direct inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2020.01.005

Abstract

Abstract:

Objective

To investigate the efficacy of transadominal suture technique with a needle forcep in close of the pseudohernia sac of direct hernia for the prevention of seroma formation under laparoscopic direct inguinal hernia repair.

Methods

74 patients with direct hernia (12 cases of type Ⅰ, 37 cases of type Ⅱ, 25 cases of type Ⅲ) were treated surgically fom January 1, 2017 to June 30, 2018. The pseudohernia sac was managed by transadominal suture technique in 62 cases of type II and type III during operation.

Results

All patients underwent surgery successfully. For type I hernia, the operation time was (38.42±2.81) minutes, the bleeding volume was (4.42±2.31) ml, the postoperative pain score was (2.83±1.19) at 1^st day, and (1.00±0.85) at 7^th day; For type Ⅱ, (44.49±3.25) minutes, (7.00±1.75) ml, (2.84±1.21) at 1^st day, and (1.08±0.83) at 7^th day; For type Ⅲ, (50.64±3.35) minutes, (5.92±2.60) ml, (2.84±1.18) at 1^st day, and (0.92±0.86) at 7^th day. There was no seroma formation, testicular swelling and pain, sexual disturbanceand, hernia recurrence and chornic groin pain after operation and during follow-up.

Conclusion

The management of pseudohernia sac of direct hernia with transadominal suture technique during laparoscopic direct inguinal hernia repair is safe, efficient and reliable for prevention of post-operative seroma formation, without increasing hernia recurrence and the risk of developing chronic groin pain, which is worth of being generalized.

Key words: Inguinal hernia, Laparoscopes, Direct hernia, Seroma

Zhihua Xie, Yuxuan Mo, Duhui Gong, Binggen Li, Daqiang Li, Wenbo Cui, Yonghui Peng. Transadominal suture technique in closing pseudohernia sac of direct hernia for seroma prevention after laparoscopic direct inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(01): 18-22.

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References 24

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