EFFICACY OF SUCTION DRAIN IN SEROMA PREVENTION IN LAPAROSCOPIC VENTRAL HERNIOPLASTY ( LAP IPOM )

Dr. Priyanka Tiwari; Dr. V.K.Garg; Dr. Vijendra Gupta; Dr. Manu Shankar; Dr. Nirmesh Verma; Dr. Akhilesh; Dr. Shukla; Dr. Sumit Talwar

Volume : VII, Issue : VIII, August - 2018

EFFICACY OF SUCTION DRAIN IN SEROMA PREVENTION IN LAPAROSCOPIC VENTRAL HERNIOPLASTY ( LAP IPOM )

Dr. Priyanka Tiwari, Dr. V. K. Garg, Dr. Vijendra Gupta, Dr. Manu Shankar, Dr. Nirmesh Verma, Dr. Akhilesh, Dr. Shukla, Dr. Sumit Talwar

Abstract :

BACKGROUND :Seroma formation is most serious complication of Laparoscopic Ventral Hernia Repair . We evaluate the incidence of seroma and efficacy of closed suction drain in prevention of seroma in Lap IPOM .

METHOD : Total 40 patient were enrolled , out of 20 included in study group( Group 1) in which closed suction drain was placed and in 20 patients included in control group( Group 2 ) in which no drain was placed . Comparison of volume of seroma was done in both the groups at 1–7^thday , 1^st month and 3^rd month by clinical and USG Examination .

RESULT : On 5–7 th day seroma was detected in all the cases ( p value =.001) . At the end of 90 thday , 85% ( n=17)of cases of study group had no seroma while 70% (n=14) of control group had residual seroma .( p value .001 )

CONCLUSION : Placement of closed suction drain anterior to mesh in Laparoscopic ventral hernia repair reduced the incidence of seroma and statistically significant difference was present between the two groups