Risk factors analysis of subcutaneous seroma following transabdominal preperitoneal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2020.05.008

Abstract

Abstract:

Objective

To investigate the incidence and risk factors of subcutaneous seroma after transabdominal preperitoneal hernia repair (TAPP).

Methods

We retrospectively analyzed the clinical data of 82 patients with primary unilateral inguinal hernia undergoing TAPP treatment in Jiangsu Huai'an City Tumor hospital from February 2017 to February 2018. Logistic univariate analysis and multivariate analysis were used to analyze the incidence and related risk factors of subcutaneous seroma.

Results

Univariate analysis showed that mesh fixation, size of hernia defect and inguinal hernia type had a significant effect on the incidence of postoperative subcutaneous seroma (P<0.05). While gender, age, body mass index, ASA score and comorbidity were not related (P>0.05). Multivariate analysis showed that the hernia defect size and non-fixation were independent risk factors for the occurrence of postoperative subcutaneous seroma.

Conclusion

The incidence of subcutaneous seroma after TAPP in the treatment of inguinal hernia was related to mesh fixation method and inguinal hernia defect size.

Key words: Hernia, inguinal, Laparoscopes, Herniorrhaphy, Subcutaneous seroma, Complications, Mesh fixation

Haibo Gao, Xuefei Wang, Xuanyu Ye. Risk factors analysis of subcutaneous seroma following transabdominal preperitoneal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(05): 497-499.

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References 16

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因素		皮下积液组(8例)	对照组(74例)
年龄(岁, ±s)		63.9±3.6	63.0±7.3
性别(例)
	男性	5	47
	女性	3	27
高血压(例)
	有	2	15
	无	6	59
糖尿病(例)
	有	1	10
	无	7	64
冠心病(例)
	有	1	12
	无	7	62
欧洲疝学会分类(例)
	复合疝	1	32*
	斜疝	1	20
	直疝	6	22
ASA分级(例)
	Ⅰ/Ⅱ	5	44
	Ⅲ/Ⅳ	3	30
缺损大小分级(例)
	Ⅰ(<1.5 cm)	1	22*
	Ⅱ(1.5~3 cm)	2	25
	Ⅲ(>3 cm)	5	27
体质量指数(kg/m², ±s)		25.3±3.2	24.9±4.6
网片固定方式(例)
	未固定	2	5*
	胶水或钉合器	6	69

因素		皮下积液组(8例)	对照组(74例)
年龄(岁, ±s)		63.9±3.6	63.0±7.3
性别(例)
	男性	5	47
	女性	3	27
高血压(例)
	有	2	15
	无	6	59
糖尿病(例)
	有	1	10
	无	7	64
冠心病(例)
	有	1	12
	无	7	62
欧洲疝学会分类(例)
	复合疝	1	32*
	斜疝	1	20
	直疝	6	22
ASA分级(例)
	Ⅰ/Ⅱ	5	44
	Ⅲ/Ⅳ	3	30
缺损大小分级(例)
	Ⅰ(<1.5 cm)	1	22*
	Ⅱ(1.5~3 cm)	2	25
	Ⅲ(>3 cm)	5	27
体质量指数(kg/m², ±s)		25.3±3.2	24.9±4.6
网片固定方式(例)
	未固定	2	5*
	胶水或钉合器	6	69

危险因素	B	SE	Wals χ²	P值	OR	95% CI
缺损大小分级	0.326	0.079	8.636	0.016	2.969	1.944-8.651
网片固定方式	1.026	0.016	16.811	0.002	3.210	2.995-11.124
EHS分类	0.356	0.034	5.108	0.054	1.753	0.873-4.464

危险因素	B	SE	Wals χ²	P值	OR	95% CI
缺损大小分级	0.326	0.079	8.636	0.016	2.969	1.944-8.651
网片固定方式	1.026	0.016	16.811	0.002	3.210	2.995-11.124
EHS分类	0.356	0.034	5.108	0.054	1.753	0.873-4.464

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