Closed Suction Drain to Prevent Postoperative Seroma after Lichtenstein Hernioplasty in Complete Inguinal Hernia: A Comparative Study
Keywords:Complete inguinal hernia, Lichtenstein’s hernioplasty, Closed suction drain
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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