Journal of Cardiovascular Disease Research
Effect of complete reduction of hernia sac and transection of hernia sac during laparoscopic indirect inguinal hernia repair on seroma
Dr Rajni Bhardwaj, Dr.Maryam banoo , Dr. Shomalla Jan, Dr. Deepti Chanjotra
JCDR. 2024: 2312-2322
Abstract
An inguinal hernia is a protrusion of abdominal tissue from a defect in the abdominal wall to the body surface. Every year, more than 20 million cases of hernia occur worldwide.Seventy five percent of abdominal hernias are inguinal hernias (IHs), which have a lifetime risk of 27% in males and 3% in females. Hernias have a complex etiology. The inguinal hernias can only be treated surgically, and this is one of the most often done surgical procedures worldwide. Seroma is the earliest and most common complication of laparoscopic inguinal hernia repair and it can mimic an early recurrence. A prospective study showed that the risk of postoperative seroma after transaction of the inguinal hernia sac during laparoscopic hernia repair was higher than in the patients with complete dissection of the sac. Results: Out of the 40 surgeries performed, 10 (25%) were transection of sac and 30 (75%) were reduction of sac. The mean duration of reduction of sac was significantly longer than that of transection of sac. The occurrence of seroma formation was significantly higher in transection of sac compared to reduction of sac. All the complications were managed with antibiotics.
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