Closed Suction Drain to Prevent Postoperative Seroma after Lichtenstein Hernioplasty in Complete Inguinal Hernia: A Comparative Study

  • Vipin Sahu Department of Surgery, NSCB Government Medical College
  • Arjun Saxena Department of Surgery, NSCB Government Medical College
  • Pawan Agarwal Department of Surgery, NSCB Government Medical College
  • Vikesh Agrawal Department of Surgery, NSCB Government Medical College
  • Dhananjaya Sharma Department of Surgery, NSCB Government Medical College
Keywords: Complete inguinal hernia, Lichtenstein’s hernioplasty, Closed suction drain

Abstract

Background: There is 5-12% chance of postoperative scrotal hematoma and seroma formation after Lichtenstein hernioplasty, which is attributed to complete hernia sacs, extensive dissection, and the foreign body reaction due to polypropylene mesh.

Objective: The aim of the study is to evaluate the efficacy of closed suction drain to prevent postoperative seroma after Lichtenstein Hernioplasty.

Methods: This prospective study was conducted in 80 patients of complete inguino-scrotal hernia. We compared incidence of post-operative seroma/hematoma and surgical site infection in drain vs. drainless group.

Results: Incidence of hematoma, seroma and surgical site infection in drain and drainless group was 2.5% vs 17.5%, 2.5% vs 22.5% and 2.5% vs 17.5% respectively.

Conclusion: Closed suction drain placement in the distal sac prevents formation of seroma/ hematoma after Lichtenstein hernioplasty of complete inguino-scrotal hernia.

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References

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Published
2021-08-26
How to Cite
Sahu, V., Saxena, A., Agarwal, P., Agrawal, V., & Sharma, D. (2021). Closed Suction Drain to Prevent Postoperative Seroma after Lichtenstein Hernioplasty in Complete Inguinal Hernia: A Comparative Study. Greater Mekong Sub-Region Medical Journal, 1(3), 109-114. Retrieved from https://he02.tci-thaijo.org/index.php/gmsmj/article/view/253067
Section
Original Articles