Seroma following endoscopic extraperitoneal inguinal hernioplasty

Abstract

Although seroma is a frequent minor morbidity after TEP, it has no impact on postoperative recovery. Because all seromas invariably resolve, expectant treatment with observation is recommended. Inguinoscrotal hernia carries a four-fold increased risk of developing seroma after TEP.

Laparoscopic total extraperitoneal repair of recurrent inguinal hernias

“…This expected finding was absent in our study. The seroma formation (4% in each group) in our study was comparable with the findings of previous studies (1.9-23%) [5,[14][15][16]. However, although wound infection up to 2.8% has been reported by a few studies in the [14], this complication was not experienced by any of our patients nor in several other reported studies [5,6].…”

Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males

“…Furthermore, a small underlying seroma after open repair may have been concealed by an edematous and swollen groin wound, thereby giving a low incidence of seroma after Lichtenstein hernioplasty. Our previous study [10] demonstrated that seroma had no impact on the patientÕs recovery, and that virtually all seromas underwent spontaneous resolution. Lichtenstein hernioplasty had a higher incidence of wound morbidity than TEP.…”

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

“…Lau et all found that significant clinical factors associated with seroma formation included old age, large hernia defects, an extension of the hernia into the scrotum, and the presence of a residual distal indirect sac. 17 One case TEP was converted to TAPP procedure due to multiple rents in the peritoneum. Even after insertion of vareese needle for decompression at palmer's point adequate preperitoneal space could not be attained for repair.…”