绞窄疝可能是腹腔镜经腹腹膜前修补术后血清肿的危险因素。

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2018-08-26 eCollection Date: 2018-01-01 DOI:10.1155/2018/6528075
Ryu Matsumoto, Yoshio Nagahisa, Kazuki Hashida, Mitsuru Yokota, Michio Okabe, Kazuyuki Kawamoto
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引用次数: 5

摘要

目的:浆液瘤是腹腔镜经腹腹膜前修补术(TAPP)后腹股沟疝成形术的并发症。在大多数情况下,血清瘤自然消退,但它可能导致增加的访问量,以门诊诊所,并可能导致患者的焦虑。腹股沟局部炎症是血肿形成的病因。绞窄性疝包括严重的腹股沟疼痛,可导致严重的炎症和随后的血清肿。没有报告显示血清肿和绞窄性疝的联系。本研究旨在回顾性评估TAPP术后血清肿的风险,并确定绞窄性疝与血清肿之间的关系。方法:2013 - 2016年在仓市中心医院应用TAPP治疗腹股沟疝300例。我们使用卡方检验。使用多重后续逻辑回归进一步检查每种关联的显著因素。结果:222例疝符合分析条件。血清肿发生率为11% (n=25)。绞窄性疝9例,其中3例(33%)出现血肿。结论:本研究提示,绞窄疝可能是血肿形成的危险因素之一。这种风险应纳入TAPP治疗绞窄性疝的管理计划,并仔细考虑患者的担忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strangulated Hernia Can Be a Risk Factor of Seroma following Laparoscopic Transabdominal Preperitoneal Repair.

Purposes: Seroma is a postoperative complication following laparoscopic transabdominal preperitoneal repair (TAPP) for inguinal hernioplasty. Seroma naturally resolves in most cases, but it can lead to an increased amount of visits to the outpatient clinic and can result in anxiety of the patient. Local inflammation of the inguinal area is etiology of seroma formation. Strangulated hernia involves severe inguinal pain and can lead to severe inflammation and subsequent seroma. There have been no reports demonstrating the links of seroma and strangulated hernia. This study aimed to retrospectively evaluate the risk of seroma after TAPP and to identify the association between strangulated hernia and seroma.

Methods: We treated 300 inguinal hernias by TAPP between 2013 and 2016 at Kurashiki Central Hospital. We used the Chi-square test. Factors significant in each association were further examined using multiple subsequent logistic regressions.

Results: A total of 222 hernias were eligible for analysis. The incidence of seroma was 11% (n=25). There were nine cases of strangulated hernias, and three (33%) resulted in seroma. The ratio of strangulated hernia of seroma group is significantly high (p<0.03). Multiple subsequent logistic regressions showed that strangulated hernia was associated with a significantly increased risk for seroma formation (p = 0.023; OR 6.564; 95% CI 1.29-33.3).

Conclusion: This study shows that strangulated hernia can be a risk factor in seroma formation. This risk should be incorporated into a management plan of TAPP for strangulated hernia, with careful consideration of patients' concerns.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
8
审稿时长
16 weeks
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