Prevention and treatment of seroma after laparoscopic inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2018.02.017

Abstract

Abstract:

Objective

To investigate the causes, prevention and treatment of seroma after laparoscopic inguinal hernia repair.

Methods

A retrospective analysis was conducted from January 2014 to December 2016 on the 653 side laparoscopic inguinal hernia repair surgery at Jinan Central Hospital Affiliated to Shandong University. Methods for controlling the occurrence of seroma were summarized.

Results

In 2014-2016, the incidence of seroma decreased year by year (16.7% vs 11.8% vs 9.6%, P<0.05). There were 4 cases of type Ⅲ seroma. A total of 9 cases of type Ⅳ seroma occurred, 7 of them were healed by puncture and aspiration, and 2 cases were ineffective after puncture, and the tunica vaginalis subvolution was performed at 1 year after surgery. One patient recovered and the other one developed effusion again.

Conclusion

We can reduce the incidence of seroma by improving surgical techniques, reducing injury, and reasonable mesh selection. If the seroma does not cause significant discomfort to the patient, observation can be given only until it disappears without requiring active intervention.

Key words: Hernia, inguinal, Laparoscopic, Seroma

Zhongwei Sun, Shaochuan Sun. Prevention and treatment of seroma after laparoscopic inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(02): 144-146.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2018.02.017

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2018/V12/I02/144

Figures/Tables 2

References 10

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年份	患侧	轻量型/重量型补片(侧)	TEP(侧)	TAPP(侧)	年龄(岁, ±s)
2014年	203	0/203	177	26	61±4.7
2015年	221	0/221	158	63	60±5.2
2016年	229	167/62	122	107	63±6.1

年份	患侧	轻量型/重量型补片(侧)	TEP(侧)	TAPP(侧)	年龄(岁, ±s)
2014年	203	0/203	177	26	61±4.7
2015年	221	0/221	158	63	60±5.2
2016年	229	167/62	122	107	63±6.1

年份	Ⅰ/Ⅱ型	Ⅲ型	Ⅳ型	发生率(%)
2014年	26	1	7	16.7(34/203)
2015年	23	2	2	11.8(27/221)
2016年	21	1	0	9.6(22/229)

年份	Ⅰ/Ⅱ型	Ⅲ型	Ⅳ型	发生率(%)
2014年	26	1	7	16.7(34/203)
2015年	23	2	2	11.8(27/221)
2016年	21	1	0	9.6(22/229)

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