Impact of Closed-suction Drain in Preperitoneal Space on the Incidence of Seroma Formation After Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

Abstract

Drain after TEP significantly reduces the incidence of seroma formation without increasing the risk of infection or recurrence.

Comparison of the Effects of Laparoscopic Hernia Repair and Lichtenstein Tension-Free Hernia Repair

“…Seroma is a common post-LIHR complication, which has an incidence between 1.9% and 22.9%. 10 This complication is mainly caused by the secretions of the excluded distal hernia sac after hernia sac transection or the residual accumulated liquid in the empty cavity after hernia content reduction. Seroma has a high incidence among patients with a long-term adhesive hernia sac as well as with a large scrotal hernia.…”

Mesh fixation compared to nonfixation in total extraperitoneal inguinal hernia repair: a randomized controlled trial in a rural center in India

“…The drain was also placed in patients on antiplatelet therapy. Some previous studies have demonstrated that use of closed suction drainage in TEP hernia repair led to a significant decrease in seroma formation without any increase in the risk of infection or recurrence [29].…”

The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach

“…Attempts to reduce the occurrence of seroma formation have included closed suction drainage of the preperitoneal space [3] or tacking the loose TF to the pubic ramus [4]. Both of these techniques are not without problems, as they can create extra discomfort to the patient, potentially increase the risk of infection, and also lead to chronic pubic bone pain from the tack staples or vasculo-nervous injury if Wxing the TF to the abdominal wall.…”