Journal of Clinical and Diagnostic Research (Oct 2024)

Role of Pseudosac Fixation on Seroma Formation Following Totally Extraperitoneal Repair of Direct Inguinal Hernia: A Randomised Controlled Tria

  • Sarbani Ghosal,
  • Himanshu Agrawal,
  • Manidip Chakraborty,
  • Peeyush Kumar,
  • Gyan Ranjan,
  • Aditya Kumar,
  • Nikhil Gupta,
  • Nitin Agarwal

DOI
https://doi.org/10.7860/JCDR/2024/70380.20114
Journal volume & issue
Vol. 18, no. 10
pp. 01 – 04

Abstract

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Introduction: Seroma formation following inguinal hernia surgery is a significant concern, causing considerable morbidity for patients. It can lead to prolonged hospital stays and, most devastatingly, mesh infection. Every effort should be made to reduce seroma formation, and newer techniques are being advocated to address this issue. Aim: To assess the role of pseudosac fixation during Totally Extraperitoneal (TEP) repair for direct inguinal hernia in relation to postoperative seroma formation. Materials and Methods: The present single-blinded randomised controlled study was conducted in the Department of Surgery, ABVIMS and Dr. Ram Manohar Lohia Hospital, New Delhi, India, from June 2019 to May 2021. A total of 60 patients (group A: 30 patients with pseudosac fixation; group B: 30 patients without pseudosac fixation) aged 18 years and above, presenting with direct inguinal hernia, were included. All patients underwent TEP repair. Seroma formation, postoperative pain and early recurrence were assessed in the postoperative period. Statistical analysis were performed using the Statistical Package for Social Sciences (SPSS) version 22.0. Fisher’s exact test and t-tests were employed, with a p-value of <0.05 considered significant. Results: The mean±Standard Deviation (SD) age in group 1 and group 2 was 60.7±7.26 years and 57.5±8.9 years, respectively. Postoperative seroma was observed in 3 (10%) patients each from both groups three months after surgery (p-value=1). Nine (30%) patients in group A and 12 (40%) patients in group B experienced mild postoperative pain (p-value=1). None of the patients in either group experienced recurrence at three months postsurgery. Conclusion: Based on the results observed and analysed, fixation of the pseudosac in direct inguinal hernias does not appear to have an impact on postoperative seroma formation, postoperative pain, or early recurrence.

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