Original Research

Frequency of Seroma with or without Drain after Totally Extra-Peritoneal Laparoscopic Hernioplasty

Nazia1
The University of Lahore
Sohaib Ashraf2
Al-khidmat Mansoorah Teaching Hospital, Lahore
Iqra Waheed3
Biostatistician, Private services, Lahore

✉ Correspondence: Nazia Email: dr.nazia95@yahoo.com

DOI https://doi.org/10.70302/jpsim.v4i1.2309
Volume: 4, Issue 1 Pages: 42–45 Published: 13 Feb 2023
Received: 30 Oct 2022 Accepted: 26 Nov 2022 Published Online: 13 Feb 2023

Abstract

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

Keywords
Seroma Drain Totally extra peritoneal Laparoscopic Hernioplasty

How to Cite This Article

Nazia , Ashraf S, Waheed I. Frequency of Seroma with or without Drain after Totally Extra-Peritoneal Laparoscopic Hernioplasty. J Pak Soc Intern Med. 2023;4(1):42–45. doi:10.70302/jpsim.v4i1.2309

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

Data Availability

Data are available from the corresponding author on reasonable request.

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