Use of surgical site compression to prevent Seroma formation following open inguinal Hernioplasty with use of Polypropylene Mesh
Journal Title: International Journal of Medical and Health Sciences - Year 2017, Vol 6, Issue 1
Abstract
Background: Seroma formation is a common complication of surgical procedures where anatomical dead space is created. Not only do seromas cause patient discomfort, they also require aspirations, or additional surgical procedures for resolution. In addition, seromas carry the risk of becoming infected, resulting in an abscess. Our purpose was to study the use of simple surgical site compression to prevent seroma formation following open inguinal hernioplasty with the use of polypropylene mesh. Methods: 64 male patients undergoing open inguinal hernia repair surgery in Ramakrishna mission Seva Pratishthan, Kolkata from June 2015 to December 2015 were divided into two groups. 32 patients in Group 1 received post operative surgical site compression with Gauze pieces and elastic adhesive tape (Dynaplast* Johnson & Johnson) which was opened on 7th post operative day. The 32 patients in group 2 did not receive the above explained compression. Patients were followed till 3 months and assessed for seroma formation. Ours is a retrospective non comparative study. Results: Only 2 of 32 (6.25%) patients in group 1 developed seroma while 9(28.13%) in group 2 developed seroma. Most of the seroma cases did not complicate with development of wound infection and were amenable to simple drainage. Only 3 in group 2 were infected while none in group 1 developed infection. This difference was found to be statistically significant (p value= 0.020). Conclusion: Simple post operative compression of surgical site following inguinal hernia repair with use of polypropylene mesh significantly reduces the incidence of seroma formation.
Authors and Affiliations
KA Mukherjee, Gunjan Shoor, Tanusree kundu, Suresh Kumar Rulaniya, AK Saraf
Keywords
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