ABSTRACT

Aim: To comparing the frequency of Seroma formation with and without drain placement in patients undergoing laparoscopic totally extraperitoneal mesh hernioplasty for inguinal hernia.

Methodology: A Randomized Controlled study conducted at Surgical unit III, Services hospital Lahore from Jan 2014 to Jan 2018 after approval from hospital ethical committee. A total of 74 patients who fulfilled the selection criteria were enrolled in the study. Patients were randomly divided in two groups by using lottery method. In group A, patients underwent totally extraperitoneal mesh hernioplasty with drain placement and in group B, patients underwent totally extraperitoneal mesh hernioplasty without placing a drain. Follow up of patients was done in OPD for 4 weeks post operatively for the clinical evaluation of seroma formation at surgical site. All the data was entered and analyzed through SPSS 26.

Results: Over all there were 73 (98.64%) male and 1(1.35%) female cases with higher male to female ratio. In group A there were 37(100%) male and no female cases while in group B there were 36(97.29%) male and 1(2.70%) female cases. Among patients in group A, 2(5.7%) had seroma and in group B 14(37.83%) had seroma. In group A 35(94.59%) cases and in group B 23(62.16%) cases had no seroma formation..

Conclusion: We concluded drain placement at surgical site significantly reduces postoperative seroma formation after laparoscopic totally extraperitoneal mesh placement in inguinal hernia.

Keywords: Inguinal Hernia, Laparoscopic Hernia Repair, Mesh, Seroma