Users Online : 5577 About us |  Subscribe |  e-Alerts  | Feedback | Login   |   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
Ahead of Print

Suturing the lax pseudosac to the Cooper's ligament to prevent seroma in endoscopic hernia repair: A new technique

 Department of Minimal Access Surgery, Ernakulam Medical Center, Kochi, Kerala, India

Correspondence Address:
Jobi Abraham,
Department of Minimal Access Surgery, Ernakulam Medical Center, Palarivattom, Kochi - 682 028, Kerala
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_235_21

PMID: 35046177

Seroma formation after laparoscopic or robotic inguinal hernia repair is a known complication, causing nuisance to the patient and embarrassment to the surgeon. A method of fixing the lax pseudosac of direct inguinal hernia to Cooper's ligament by suturing, to prevent post-operative seroma formation, is discussed in this study. Seventy-two pseudosac fixations were done in a 'figure of eight technique' using non-absorbable suture in 56 patients. These patients were followed up 2 weeks and 6 weeks post surgery. None developed a seroma. The primary obliteration of pseudosac by suturing with non-absorbable suture to Cooper's ligament is a cheap and reliable method for prevention of post-operative seroma. However, it is time-consuming and dependent on the suturing skill of the surgeon.

Print this article
  Search Pubmed for
    -  Abraham J
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded10    

Recommend this journal

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04