Effect of Drains on Complications in Laparoscopic Repair of Unilateral Inguinal Hernia.

IF 1.8 4区医学 Q3 SURGERY

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2025-07-01 Epub Date: 2025-09-03 DOI:10.4293/JSLS.2025.00052

Birol Agca, Yalin Iscan, Iksan Tasdelen, Kemal Memisoglu

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引用次数: 0

Abstract

Objectıve: In this study, we aimed to investigate the effectiveness of preperitoneal closed suction drainage in reducing postoperative complications in total extraperitoneal (TEP) repair inguinal hernia repair.

Methods: Between May 2021 and February 2023, 125 patients aged 18-80 years who were admitted to our hospital with primary unilateral (PM2, PM3 and PL2, PL3) inguinal hernia were included in preperitoneal drainage (group 1, n = 45) and no drainage groups (group 2, n = 80). Hematoma and seroma size, early postoperative bleeding, postoperative hospital stay, pain score and recurrence were recorded on the 6th day and 3rd month after surgery.

Results: A total of 114 of the patients were male and 11 were female. Hematoma and seroma were detected in 5 patients in Group I and 15 patients in Group II on the 6th day after surgery (P < .024). Two patients in Group I were re-explored on the first postoperative day due to the amount of drain and hemodynamic instability. There was no difference between the groups in terms of seromas seen in the third postoperative month. There was no difference between the groups in terms of VAS scores and hospital stay.

Conclusion: Especially for young surgeons who are new to surgical procedures, the placement of a drain that is removed after 24 hours will both reduce the development of hematoma and seroma and contribute to early diagnosis and timely intervention in case of serious bleeding.

查看原文本刊更多论文

引流管对腹腔镜单侧腹股沟疝修补术并发症的影响。

Objectıve：在本研究中，我们旨在探讨腹膜前闭合吸引引流术在减少全腹膜外（TEP）修补腹股沟疝修补术术后并发症的有效性。方法：选取2021年5月至2023年2月我院收治的原发性单侧（PM2、PM3和PL2、PL3）腹股沟疝患者125例，年龄18-80岁，分别行腹膜前引流组（1组，n = 45）和不引流组（2组，n = 80）。分别于术后第6天和第3个月记录血肿和血肿大小、术后早期出血、术后住院时间、疼痛评分和复发情况。结果：男性114例，女性11例。1组5例，2组15例术后第6天发现血肿、血肿(P结论：尤其对于初学手术的年轻外科医生，放置引流管24小时后取出引流管，既能减少血肿、血肿的发展，又有助于严重出血的早期诊断和及时干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.