Effect of closed drainage system on prevention of seroma after laparoscopic total extraperitoneal repair in primary M3 and L3 inguinal hernia

• Published in: Laparoscopic endoscopic surgical science 2024-06, Vol.31 (2), p.33-37
• Main Authors: Agca, Birol, iscan, Yalin, Gunes, Yasin, Bulut, Nuriye Esen, Bilgili, Ali Cihan, Topaloglu, Berk, Fersahoglu, Mehmet Mahir, Fersahoglu, Ayse Tuba, Ergin, Anil, Tasdelen, Iksan, Aydin, Mehmet Timugin, Memisoglu, Kemal
• Format: Article
• Language: English
• Subjects: Endoscopy; Hernia; Hernias; Laparoscopic surgery; Laparoscopy; Patients; Postoperative period; Prevention; Surgery
• ISSN: 2587-0610; 2587-0610
• DOI: 10.14744/less.2024.68889

Introduction: Seroma that can be seen after endoscopic completely extraperitoneal inguinal hernioplasty (TEP) is a major problem in patients who are concerned about recurrence. In this study, a prospective study design was prepared in our clinic in order to see the incidence of seroma after TEP and the effect of closed system negative pressure drainage, which is one of the methods thought to reduce it. Materials and Methods: Primary M3 and L3 unilateral inguinal hernias were randomly divided into two groups. Group I was the group in which a drain was placed after TEP, and Group II was the group in which no drain was placed after TEP. In Group I patients, a hemovac drain was placed behind the mesh and the perforated end of the drain was placed in the preperitoneal space. Anatomical 3D mesh (3DMax[TM] Mesh, BD, USA) was applied to all cases. Results: There were 41 patients in Group I and 39 patients in Group II. 73 of the patients were men and 7 were women. According to the EHS classification, 47 of the hernias were L3 type and 33 were M3 type. Seroma was detected in 5 patients in Group I and 13 patients in Group II on the 7th postoperative day (p