Intraoperative adjunctive techniques to reduce seroma formation in laparoscopic inguinal hernioplasty: a systematic review

Background Seroma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. Recurrence and seroma formation may be difficult to distinguish. Many adjunctive techniques with which to reduce the incidence of seroma formation after laparoscopic inguinal repair h...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2019-08, Vol.23 (4), p.723-731
Main Authors: Li, J., Gong, W., Liu, Q.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Abdominal Wall - surgery
Clinical trials
Drainage - methods
Drainage - statistics & numerical data
Fascia
Fibrin
Fibrin Tissue Adhesive - therapeutic use
Groin - surgery
Hernia
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - methods
Humans
Incidence
Laparoscopy
Laparoscopy - methods
Medicine
Medicine & Public Health
Original Article
Postoperative Complications - prevention & control
Prospective Studies
Recurrence
Seroma - prevention & control
Surgical drains
Surgical Mesh - adverse effects
Suture Techniques - statistics & numerical data
Systematic review
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Summary:Background Seroma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. Recurrence and seroma formation may be difficult to distinguish. Many adjunctive techniques with which to reduce the incidence of seroma formation after laparoscopic inguinal repair have been described in the literature; however, the evidence for using intraoperative adjunctive techniques is limited. Therefore, the present systematic review was performed to evaluate the effects and limitations of adjunctive techniques used during laparoscopic inguinal hernia repair. Methods Major databases (PubMed, Embase, Springer, and Cochrane Library) were searched using the terms “seroma,” “laparoscopic inguinal hernia”, “TAPP”, “TEP”, “inguinal hernia”, “tack”, “barbed suture”, “drainage”, “Endoloop technique”, and “fibrin sealant”. All studies involving adults undergoing laparoscopic/endoscopic inguinal hernioplasty with at least one intervention designed to reduce seroma formation were included. Results Of the 965 studies identified, 8 met the inclusion criteria. Six adjunctive techniques were described in the literature. Transversalis fascia (TF) inversion with tacking: one prospective non-randomized controlled study revealed a lower incidence of postoperative seroma after TF inversion with tacking for direct inguinal hernias (4.17% vs. 14.29%, P  
ISSN:1265-4906
1248-9204
1248-9204
DOI:10.1007/s10029-019-01903-1