Fade or fate - Seroma in laparoscopic inguinal hernia repair

Background: Postoperative fluid collection in the space left behind the dissected hernia sac in laparoscopic herniorraphy puts the surgeon in a dilemma as to whether it is a recurrence or a seroma, and it is not always easily judged only by physical examination (PE). Another important issue is what kind of seroma can be accepted as a complication of surgery. Methods: Thirty patients with unilateral inguinal hernia who had a hernia sac of > 4 cm were operated on with transabdominal preperitoneal hernia repair (TAPP) technique and the collection at the hernia site was followed by PE and superficial ultrasonography (USG) postoperatively on the first day, first week, first month, and third month. Results: USG detected seroma in 20 patients, while 17 could be noticed by PE on the first postoperative day. At the end of the third month, seromas resolved by 90%, and could only be detected by USG in two patients. Pain or complication rates attributable to seroma in patients were not determined (p > 0.05) in the statistical analyses between the groups. Conclusions: Superficial USG is a beneficial tool in differentiating early recurrence or seroma In patients. It should not be intervened with as a complication until the patient has complaints attributable to seroma.

Yazar Cihan, A
Ozdemir, H
Ucan, BH
Acun, Z
Comert, M
Tascilar, O
Cesur, A
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2640
Tek Biçim Adres 10.1007/s00464-005-0052-6
Konu Başlıkları laparoscopy
inguinal hernia
seroma
complication
ultrasonography
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Dergi Cilt Bilgisi 20
Dergi Sayısı 2
Sayfalar 325 - 328
Yayın Yılı 2006
Eser Adı
[dc.title]
Fade or fate - Seroma in laparoscopic inguinal hernia repair
Yazar
[dc.contributor.author]
Cihan, A
Yazar
[dc.contributor.author]
Ozdemir, H
Yazar
[dc.contributor.author]
Ucan, BH
Yazar
[dc.contributor.author]
Acun, Z
Yazar
[dc.contributor.author]
Comert, M
Yazar
[dc.contributor.author]
Tascilar, O
Yazar
[dc.contributor.author]
Cesur, A
Yayın Yılı
[dc.date.issued]
2006
Yayıncı
[dc.publisher]
SPRINGER
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Postoperative fluid collection in the space left behind the dissected hernia sac in laparoscopic herniorraphy puts the surgeon in a dilemma as to whether it is a recurrence or a seroma, and it is not always easily judged only by physical examination (PE). Another important issue is what kind of seroma can be accepted as a complication of surgery. Methods: Thirty patients with unilateral inguinal hernia who had a hernia sac of > 4 cm were operated on with transabdominal preperitoneal hernia repair (TAPP) technique and the collection at the hernia site was followed by PE and superficial ultrasonography (USG) postoperatively on the first day, first week, first month, and third month. Results: USG detected seroma in 20 patients, while 17 could be noticed by PE on the first postoperative day. At the end of the third month, seromas resolved by 90%, and could only be detected by USG in two patients. Pain or complication rates attributable to seroma in patients were not determined (p > 0.05) in the statistical analyses between the groups. Conclusions: Superficial USG is a beneficial tool in differentiating early recurrence or seroma In patients. It should not be intervened with as a complication until the patient has complaints attributable to seroma.
Açıklama
[dc.description]
WOS: 000235059700029
Açıklama
[dc.description]
PubMed: 16333536
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
laparoscopy
Konu Başlıkları
[dc.subject]
inguinal hernia
Konu Başlıkları
[dc.subject]
seroma
Konu Başlıkları
[dc.subject]
complication
Konu Başlıkları
[dc.subject]
ultrasonography
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0930-2794
İlk Sayfa Sayısı
[dc.identifier.startpage]
325
Son Sayfa Sayısı
[dc.identifier.endpage]
328
Dergi Adı
[dc.relation.journal]
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
20
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00464-005-0052-6
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2640
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
50
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
18 Mayıs 2024 15:51
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Tıklayınız
seroma patients hernia complication attributable collection detected recurrence postoperative seromas noticed Results complaints patient intervened resolved analyses differentiating Superficial Conclusions groups between postoperatively determined should beneficial statistical Background dilemma important Another examination physical judged easily
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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