Prevention of seroma after laparoscopic totally extraperitoneal hernia repair: a retrospective analysis
10.16139/j.1007-9610.2025.05.08
- VernacularTitle:预防腹腔镜完全腹膜外疝修补术后血清肿的回顾性研究
- Author:
Dejun LIU
;
Xingchen HU
- Publication Type:Journal Article
- From:
Journal of Surgery Concepts & Practice
2025;30(5):423-427
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of intraoperative negative pressure drainage in preventing seroma after laparoscopic totally extraperitoneal (TEP) hernia repair. Methods A total of 200 patients undergoing TEP repair in our hospital from January 2022 to December 2022 were divided into two groups (n=100 each). The study group received intraoperative negative pressure drainage, while the control group did not. Therapeutic outcomes and postoperative complications were compared between the two groups. Results There were no significant differences between the two groups in operative time, pain scores, incidence of wound infection, or recurrence rates (P > 0.05). However, the study group showed a significantly lower incidence of postoperative seroma compared to the control group (P < 0.05). For direct hernias, the operative time in the study group was significantly shorter than that in the control group (P < 0.05). No mesh infections were observed in either group. Conclusions Prophylactic negative pressure drainage significantly reduces seroma formation without increasing other postoperative complications and is easy to be performed. The application of negative pressure drainage is recommended in cases of scrotal and direct hernias.
