JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v4i1.2309 jpsim.v4i1.2309 Original Research Frequency of Seroma with or without Drain after Totally Extra-Peritoneal Laparoscopic Hernioplasty Nazia dr.nazia95@yahoo.com * Ashraf Sohaib Waheed Iqra The University of Lahore Al-khidmat Mansoorah Teaching Hospital, Lahore Biostatistician, Private services, Lahore *Correspondence: Nazia (dr.nazia95@yahoo.com) 13 02 2023 2023 4 1 42 45 30 10 2022 26 11 2022 Copyright © 2023 The Author(s) 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To compare the frequency of seroma with or without drain after totally extra-peritoneal laparoscopic hernioplasty

 Methodology

This Randomized Controlled Trial was done at Department of Surgery, Jinnah hospital, Lahore. Total 90 patients fulfilling the inclusion criteria were selected from outpatients Department. Then patients were divided in two groups by using lottery method. In group A, drain was placed after TEP. In group B, no drain was placed after TEP. All surgeries were performed by a single surgical team under general anesthesia with assistance of researcher. Then patients were shifted in post-surgical wards for 24 hours. After 24 hours, patients were discharged and followed-up in OPD for 7 days. After 7 days, wound site was evaluated and if blood or pus was present at wound or port site, then seroma was labeled. Patients who developed seroma were managed as per hospital protocol.

 Results

Mean age of patients was 41.20±12.21 and 41.15±12.33 years. Seroma formation was significantly higher in Group-B patients i.e. Group-A: 6.7% & Group-B: 24.4%, p-value=0.020. Frequency of seroma was less in Group-A patients as compared to Group-B in all age group of patients but it was not statistically significant. Frequency of seroma was less in Group-A patients as compared to Group-B in all BMI groups of the patients i.e. Normal, Overweight and Obese and it was not statistically significant for all three groups.

 Conclusion

It is concluded that seroma formation was lower in drain group than with no drain after totally extra-peritoneal laparoscopic hernioplasty. This technique was proved safe, as it was not associated with major morbidity or recurrence

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