Different Methods to Decrease Seroma Formation Post Hernioplasty of Ventral Hernias

The authors have developed a new method of seroma formation prevention after laparoscopic allohernioplasty in patients with postoperative ventral hernias. The results of the study showed that trans- position of hernia sac into the abdominal cavity and fixation to the unmodified abdominal wall around the perimeter of the hernial orifice can reliably eliminate Grajewo cavity and thereby to eliminate the possibility of seroma formation in the postoperative period. Federal service for intellectual property (Rospatent) decided to grant a patent for this method of seroma formation prevention at the surgery of postoperative ventral hernias as for the invention “Method of laparoscopic plasty of ventral hernias” (№2017120227/14(035085) from 17.01.2018).

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LAPAROSCOPY VERSUS LAPAROTOMY IN THE REPAIR OF VENTRAL HERNIAS: systematic review and meta-analysis

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803201400030008 ◽

2014 ◽

Vol 51 (3) ◽

pp. 205-211 ◽

Cited By ~ 22

Author(s):

Paula Marcela Vilela CASTRO ◽

Janayna Thainá RABELATO ◽

Gustavo Gomes Ribeiro MONTEIRO ◽

Guilherme Ciconelli del GUERRA ◽

Mônica MAZZURANA ◽

...

Keyword(s):

Systematic Review ◽

Perioperative Complications ◽

Meta Analysis ◽

Seroma Formation ◽

Laparoscopic Technique ◽

Surgical Wound ◽

Surgical Time ◽

Post Operative Pain ◽

Laparotomy Group ◽

Ventral Hernias

Objective To compare the laparotomy and laparoscopy techniques for correction of ventral hernia when related to perioperative complications, length of hospitalization, surgical time, and recurrence of hernia. Methods This was a systematic review of randomized controlled trials, which included studies retrieved from four databases (MEDLINE, Embase, Cochrane and LILACS), using a combination of the terms (Hernia, Ventral) and (Laparoscopy) and (Laparotomy). Results Six randomized trials were included, totaling 566 patients, 283 in the Laparoscopy group and 283 in the Laparotomy group. Laparoscopy reduced the risk of infection of the surgical wound (NNT = 5) and seroma formation (NNT = 13) and less length hospitalization (P = 0.02) compared to laparotomy in the correction of ventral hernias. Furthermore, laparoscopy increased the incidence of enterotomy (NNH = 25) and post operative pain (NNH = 8) and longer surgical time (P = 0.0009) when compared with laparotomy. There was no difference related to abscess (P = 0.79), hematoma (P = 0.43) and recurrency of ventral hernias (P = 0.25). Conclusions In the correction of ventral hernias, the use of laparoscopic technique is effective to reduce infections of the surgical wound and seroma formation, as well as, decrease the length hospitalization.

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Abdominoplasty, Liposuction of the Flanks, and Obesity: Analyzing Risk Factors for Seroma Formation

Yearbook of Plastic and Aesthetic Surgery ◽

10.1016/s1535-1513(08)70624-6 ◽

2008 ◽

Vol 2008 ◽

pp. 158

Author(s):

P. McKinney

Keyword(s):

Risk Factors ◽

Seroma Formation

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Lichtenstein Versus Desarda’s Technique of Hernia Repair

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44073 ◽

2020 ◽

Vol 22 (2) ◽

pp. 99-103

Author(s):

Md Fardhus ◽

AMSM Sharfuzzaman ◽

Md Nayeem Dewan ◽

Md Abul Hossain ◽

Ahmed Sami Al Hasan ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Mesh Repair ◽

Operative Time ◽

Seroma Formation ◽

Age Group ◽

Serous Fluid ◽

Medical College ◽

Randomized Control ◽

And Gender

Aim: To compare Desarda’s versus Lichtenstein’s mesh repair in patients with unilateral, primary, reducible inguinal hernia in terms of mean operative time and seroma formation Methods: This randomized control trial conducted at Department of Surgery, Patuakhali Medical College & Hospital, Patuakhali. Eighty patients with unilateral, primary, reducible inguinal hernia were randomly distributed into two groups to undergo hernia repair i.e. Lichtenstein (L) and Desarda’s (D). Outcome was measured in terms of mean operative time and seroma formation. Seroma formation was defined as presence of enclosed cavity containing serous fluid determined by ultrasonography at 30th post-operative day. Results: Thirty three patients (41.25%) were above 50 years of age, whereas remaining 47 patients (58.75%) were below 50 years of age. Five patients (6.25%) were female and 75 patients(93.75%) were male. Seroma formation was 5% in Desarda’s group while 7.5% in Lichtenstein group (P> 0.05). Similarly difference in mean operative time was statistically non-significant. Seroma formation was common in older age group. There was no effect of smoking, obesity, operative time and gender on seroma formation. Conclusion: It is concluded that there is no difference in frequency of seroma formation and mean operative time in Desarda’s or Lichtenstein’s technique of hernia repair. Journal of Surgical Sciences (2018) Vol. 22 (2) : 99-103

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Harmonic scalpel versus traditional ligation in axillary dissection for breast cancer: a retrospective multivariate analysis

Perspectives in Surgery ◽

10.33699/pis.2020.99.11.502-508 ◽

2020 ◽

Vol 99 (11) ◽

Keyword(s):

Breast Cancer ◽

Axillary Dissection ◽

Harmonic Scalpel ◽

Breast Conserving Surgery ◽

Seroma Formation ◽

Nodal Involvement ◽

Single Centre ◽

Absorbable Material ◽

Drain Removal ◽

The Mean

Introduction: The aim of this pilot retrospective study is to evaluate the complication rate in patients after axillary dissection comparing preparation with harmonic scalpel vs traditional ligation technique, and to analyse risk factors for complications occurrence. Methods: 144 patients with 148 axillary dissections operated in a single centre between January 2014 and 2019 were included into the study. Axillary dissection was performed using harmonic scalpel in 73 and absorbable ligations in 70 cases. Results: Seroma formation was observed in 41 patients (56.2%) in the harmonic scalpel group and in 21 patients (30.0%) in the ligations group (p=0.003). The mean period from the surgery to drain removal was 4.0 days in the harmonic scalpel group and 3.0 days in the ligations group (p<0.001). The mean amount of the drained fluid after mastectomy was 300.9 ml in the harmonic scalpel group and 168.7 ml in the ligations group (p=0.005); after breast conserving surgery, it was 241.9 ml and 107.4 ml, respectively (p =0.023). Conclusion: In comparison with traditional ligations with absorbable material, axillary dissection using harmonic scalpel significantly increases the risk of postoperative seroma formation, prolongs the time from the surgery to drain removal, and increases the amount of drained fluid.ut any suspicion of nodal involvement, hemithyroidectomy is considered to be a sufficient procedure or the method of choice, respectively.

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