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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
India
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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.


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