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Preperitoneal closed-system suction drainage after totally extraperitoneal hernioplasty in the prevention of early seroma formation: A prospective double-blind randomised controlled trial

Hernia Jan 18, 2018

Fan JKM, et al. - Researchers performed this randomised controlled trial to evaluate the outcomes of preperitoneal closed-system suction drainage in laparoscopic totally extraperitoneal (TEP) hernioplasty for inguinal hernia. As per findings, preperitoneal drainage for 23 h after laparoscopic TEP hernioplasty for inguinal hernia could have efficacy for reducing seroma formation in the early postoperative period, thereby improving postoperative pain. The benefit remained for a short-term period and after 1-month post operations, no significant difference was evident. This tradition technique applied to the novel operative repair of inguinal hernia proved safe and feasible and demonstrated no significant morbidity. To improve patient satisfactions and recovery, preperitoneal drainage after TEP could be considered as an option in selected patient group for maximal benefit. This was especially seen for those with prolonged operation which might associate with higher chance of seroma formation.
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