腹膜前间隙闭式引流对腹腔镜完全腹膜外腹股沟疝修补术后血清肿形成发生率的影响。

Impact of closed-suction drain in preperitoneal space on the incidence of seroma formation after laparoscopic total extraperitoneal inguinal hernia repair.

作者信息

Ismail Mohamed, Garg Mahak, Rajagopal Mahesh, Garg Pankaj

机构信息

Department of General and Laparoscopic Surgery, Moulana Hospital, Perintalmanna, Kerala, India.

出版信息

Surg Laparosc Endosc Percutan Tech. 2009 Jun;19(3):263-6. doi: 10.1097/SLE.0b013e3181a4d0e1.

DOI:10.1097/SLE.0b013e3181a4d0e1

PMID:19542859

Abstract

PURPOSE

To study the effect of closed suction drain in preperitoneal space on seroma formation after laparoscopic total extraperitoneal repair (TEP).

METHODS

A closed suction drain-12G was put through the midline 5 mm port incision and removed with in 24 hours of operation in TEP repair. The results were compared with a group with TEP without any drain.

RESULTS

In 929 patients (1753 hernias), drain was put in 849 patients (1607 hernias) and no drain was put in 80 patients (146 hernias). Follow-up ranged from 9 to 45 months. Seroma formation was significantly lower in the drain group (12/1607; 0.75%) compared with the nondrain group (22/146; 15.1%) (P<0.0001). Both the groups were comparable in pain scores, conversion to open, hospital stay, and days taken to return to normal activity and recurrence rates. There was no infection in either group.

CONCLUSIONS

Drain after TEP significantly reduces the incidence of seroma formation without increasing the risk of infection or recurrence.

摘要

目的

研究腹膜前间隙闭式引流对腹腔镜完全腹膜外修补术（TEP）后血清肿形成的影响。

方法

在TEP修补术中，将一根12G闭式引流管经中线5mm端口切口置入，并在术后24小时内拔除。将结果与未放置任何引流管的TEP组进行比较。

结果

929例患者（1753处疝）中，849例患者（1607处疝）放置了引流管，80例患者（146处疝）未放置引流管。随访时间为9至45个月。引流组血清肿形成率（12/1607；0.75%）显著低于未引流组（22/146；15.1%）（P<0.0001）。两组在疼痛评分、转为开放手术、住院时间、恢复正常活动所需天数和复发率方面具有可比性。两组均无感染发生。