The effect of distal high ligation of hernial sac closed on the prevention of postoperative scrotum seroma of totally laparoscopic totally extraperitoneal inguinal hernia repair

Abstract

Objective To investigate the effect of distal high ligation of hernial sac closed on the prevention of postoperative scrotum seroma of totally laparoscopic extraperitoneal inguinal hernia repair. Methods The clinical data of 84 male patients who performed laparoscopic total extraperitoneal inguinal hernia repair from May 2014 to May 2015 May were analyzed. They were randomly divided into two groups: block group (42 patients with distal hernia sac ligation closed), and non-block group (42 patients with distal hernia completely stripped off or exclusion). The rate of scrotum seroma, operation time, postoperative infection, length of stay and follow-up status were compared between two groups. Results All the surgery completed successfully. The operation time and length of stay in two groups had no significant differences (P>0.05). No patients used analgesics, and no patients had postoperative infection and hematoma. The rate of scrotum seroma in block group was significantly lower than that in non-block group: 0 vs. 11.9% (5/42), P<0.05. They were followed up for 5-17 months, with average 11.2 months, and there was no chronic pain patients. Conclusions The distal high ligation of hernial sac closed in the prevention of postoperative scrotum seroma of totally laparoscopic extraperitoneal inguinal hernia repair is effect. Key words: Laparoscopes; Hernia, inguinal; Hernia repair; Comparative effectiveness research