ArticleBMC surgery2022
Effect of complete reduction of hernia sac and transection of hernia sac during laparoscopic indirect inguinal hernia repair on seroma.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Effect of sac transection versus sac reduction on seroma in laparoscopic indirect hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Navigating hernia sac management in minimally invasive inguinal hernia repair: to abandon or to reduce? An updated systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- A systematic review and meta-analysis of hernia sac management in laparoscopic groin hernia mesh repair: reduction or transection?BMC surgery · 2023Pooled it
- Influence of internal ring defect closure on postoperative seroma formation after laparoscopic transabdominal preperitoneal repair for large indirect inguinal hernia: A randomized controlled study.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- The application of internal ring closure in laparoscopic transabdominal preperitoneal (TAPP) repair for large indirect inguinal hernias: a retrospective study of 162 cases.Langenbeck's archives of surgery · 2026Article
- A retrospective study of defect closure and hernia belt compression for seroma prevention in laparoscopic inguinal hernia repair.Scientific reports · 2026Article
- Effect of closing the internal ring during laparoscopic TAPP for Nyhus type III indirect inguinal hernia on postoperative seroma: a retrospective cohort study.Frontiers in surgery · 2026Article
- Different methods of managing the distal hernia sac to prevent seroma after laparoscopic repair of large indirect inguinal hernias: a real-world study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Little influence of the abandoned sac on seroma formation following laparoscopic transabdominal preperitoneal repair of lateral inguinal hernia.Surgical endoscopy · 2025Article
- Risk factors and clinical impact of seroma formation following laparoscopic inguinal hernia repair: a retrospective study.BMC surgery · 2024Article
- Clinical efficacy of laparoscopic closed hernia ring combined with a patch repair for Gilbert type III indirect inguinal hernia.Frontiers in surgery · 2023Article
- Effect of early return to work after laparoscopic total extraperitoneal hernia repair: A retrospective comparative cohort study.Tzu chi medical journalArticle
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study investigated the effect of complete reduction and transection of the hernia sac during laparoscopic indirect inguinal hernia repair on seroma.
methodsRetrospective analysis was performed on 1763 cases undergoing laparoscopic indirect inguinal hernia repair in three centers from January 2017 to September 2019, among them, 311 patients with transection of hernia sac and 1452 patients with reduction of hernia sac, the data of the two groups were tested by t-test. Logistic univariate analysis was performed on 233 cases of postoperative seroma, and variables p < 0.05 in univariate analysis were included for multivariate analysis. Then, the transection group and the reduction group were matched with 1:1 propensity score matching, and the caliper value was set at 0.05. Finally, 274 patients matched in each group were analyzed by univariate analysis again to evaluate whether the transection of hernia sac had an impact on postoperative seroma.
resultsThe results of univariate analysis of 233 patients with postoperative seroma showed that: ASA-3 p = 0.031, classification-L3 p < 0.001, surgery-TEP p < 0.001, transect group p = 0.005. The results of multivariate analysis show that: ASA-3 p < 0.001, classification-L3 p < 0.001, surgery-TEP p < 0.001, transect group p = 0.020. The results of univariate analysis after propensity score matching showed that transection of the hernia sac is significant for postoperative seroma (p < 0.001).
conclusionTransection of the hernia sac during laparoscopic indirect inguinal hernia repair can significantly lead to postoperative seroma.
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