Frequency of Seroma with or without Drain after Totally Extra-Peritoneal Laparoscopic Hernioplasty
AbstractObjective: To compare the frequency of seroma with or without drain after totally extra-peritoneal laparoscopic hernioplasty
MethodsThis 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.
Keywords:Seroma, Drain, Totally extra peritoneal, Laparoscopic Hernioplasty
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