Application of different compression methods after laparoscopic tension-free inguinal hernia repair and their preventive effects on seroma

doi:10.3877/cma.j.issn.1674-392X.2026.04.015

Abstract

Abstract:

Objective

To observe the application of different compression methods after laparoscopic tension-free inguinal hernia repair and their preventive effects on seroma.

Methods

A total of 100 patients who underwent laparoscopic tension-free inguinal hernia repair at Suzhou Municipal Hospital from February 2023 to February 2025 were selected. They were divided into a control group and an observation group with 50 cases in each group using the random number table method. After surgery, the control group received conventional compression with a salt bag, while the observation group received compression with a novel hernia wearable device (HWD). Occurrence of seroma, the visual analogue scale (VAS) score and the Carolina comfort scale (CCS) score were compared between the two groups.

Results

At 1 week and 1 month after surgery, the incidence of seroma in the observation group was 4.00% and 2.00%, respectively, which was lower than 12.00% and 6.00% in the control group. However, there was no statistically significant difference between the two groups (P>0.05). At 6, 12, 24 after surgery, VAS scores of the observation group [(3.12±0.43) points, (2.28±0.30) points, (1.69±0.22) points] were lower than those of the control group [(3.82±0.51) points, (3.02±0.45) points, (2.41±0.39) points], with statistically significant difference (P<0.05). One week after surgery, CCS score of the observation group (22.03±6.59 points) was lower than that of the control group (26.77±8.24) points, with statistically significant difference (P<0.05).

Conclusion

Compared to conventional compression with a salt bag, compression with a HWD after laparoscopic tension-free inguinal hernia repair can reduce the incidence of seroma, alleviate postoperative pain and improve quality of life. It is worthy of clinical promotion and application.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes, Hernia wearable device, Seroma

Yifan Chen, Yu Zhou, Jinfu Dong. Application of different compression methods after laparoscopic tension-free inguinal hernia repair and their preventive effects on seroma[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(04): 434-438.

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References 20

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组别	例数	术后1周	术后1个月
对照组	50	6(12.00)	3(6.00)
观察组	50	2(4.00)	1(2.00)
χ²值		3.314	1.895
P值		0.069	0.169

组别	例数	术后1周	术后1个月
对照组	50	6(12.00)	3(6.00)
观察组	50	2(4.00)	1(2.00)
χ²值		3.314	1.895
P值		0.069	0.169

组别	例数	术后6 h	术后12 h	术后24 h	术后48 h
对照组	50	3.82±0.51	3.02±0.45	2.41±0.39	1.23±0.14
观察组	50	3.12±0.43	2.28±0.30	1.69±0.22	1.18±0.10
t值		7.420	9.675	11.370	1.908
P值		<0.001	<0.001	<0.001	0.060

组别	例数	术后6 h	术后12 h	术后24 h	术后48 h
对照组	50	3.82±0.51	3.02±0.45	2.41±0.39	1.23±0.14
观察组	50	3.12±0.43	2.28±0.30	1.69±0.22	1.18±0.10
t值		7.420	9.675	11.370	1.908
P值		<0.001	<0.001	<0.001	0.060

组别	例数	异物感	疼痛	活动受限	总分
对照组	50	9.82±2.44	9.05±2.23	7.90±1.95	26.77±8.24
观察组	50	8.95±2.31	6.38±2.00	6.70±1.41	22.03±6.59
t值		1.831	6.303	3.526	3.177
P值		0.070	<0.001	0.001	0.002

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