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- Title
Investigation of risk factors for postoperative seroma/hematoma after TAPP.
- Authors
Morito, Atsushi; Kosumi, Keisuke; Kubota, Tatsuo; Yumoto, Shinsei; Matsumoto, Takashi; Mima, Kosuke; Inoue, Mitsuhiro; Mizumoto, Takao; Miyanari, Nobutomo; Baba, Hideo
- Abstract
Background: Seroma/hematoma formation is the most common postoperative complication after laparoscopic inguinal hernia repair. The occurrence of seroma/hematoma remains unclear. The aim of this study was to determine the risk factors for seroma/hematoma formation after transabdominal preperitoneal patch plasty (TAPP). Methods: The study enrolled 359 groin hernia patients treated by TAPP at Kumamoto Medical Center between 2014 and 2019. The primary outcome was risk factors for postoperative seroma/hematoma formation after TAPP. The secondary outcomes included recurrence of hernia, postoperative complications, and hospital stay. Results: Among the 359 patients, the incidence rate of seroma/hematoma was 16% (n = 69 patients), and the recurrence rate was 0.3% (n = 1 patient, both sides). In total, there were 452 lesions. Japan Hernia Society (JHS) type II was present in 23% (n = 106) of the total cases but was significantly more common in the postoperative seroma/hematoma group (40%; P = 0.0082). Meanwhile, JHS type I-3 comprised 27% of the total JHS type I group but was significantly higher in the postoperative seroma/hematoma JHS type I group (40%; P = 0.016). Compared with JHS type I, the multivariable odds ratio for postoperative seroma/hematoma formation in JHS type II was 2.77 (95% CI 1.54–4.95). Compared with JHS grade 1/2, the multivariable odds ratio for postoperative seroma/hematoma formation in JHS grade 3 was 2.27 (95% CI 1.28–4.03). Conclusions: Internal inguinal hernia and hernia size ≥ 3 cm were considered risk factors for postoperative seroma/hematoma formation after TAPP.
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2022, Vol 36, Issue 7, p4741
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-021-08814-2