Postoperative Seroma Collection in Operated Case of TAPP Hernioplasty in Unilateral Inguinoscrotal Hernia

Abstract

Introduction: Repair of inguinal hernia is one of the commonest performed surgical procedures worldwide. Usually, a seroma develops in large inguinoscrotal hernias. Generally, a seroma is a cause of significant distress for the patient since it may recur. If the possibility of seroma formation is discussed with the patient before surgery, it may go a long way in alleviating the patient’s distress. Seromas are common after large hernia repair and direct hernia repair. Materials and methods: In this observational study, 50 patients were randomly selected from LG. Hospital (AMC MET Medical College, Ahmedabad, India) who went through TAPP hernioplasty for an inguinoscrotal hernia after a complete explanation of conversion to open as well as post-operative seroma formation. Since all cases were indoor patients, they were initially reviewed on the next day morning after the operation and the next examination time point was seven days later for seroma development. All the patients were followed up at 6 weeks and then every month for 6 months up to 1 year. Results: Out of 50 patients, 44 (88%) patients had an indirect hernia and 6 (12%) patients had a direct hernia. The seroma developed in only three patients (6%) who were managed conservatively with only medicines. Within the follow-up period, no patients had pain, seroma, and recurrence. Conclusion: In some cases of large scrotal hernia, the distal sac was difficult to be inversed or the hernia sac even adhered firmly to the ipsilateral testicle and other structures. In those cases, avoiding inverting the distal sac and leaving the distal sac in place means to avoid dissecting out the distal sac observed lesser occurrence of the seroma. That suggests that the laparoscopic method can help prevent or decrease the chance of the development of seroma in the unilateral inguinoscrotal hernia.