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ISSN 1405-0099 (Print)

2000, Number 1

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Cir Gen 2000; 22 (1)

Seroma secondary to preperitoneal inguinal hernioplasty through laparoscopy. Report on one patient

Martínez JF, Fabián VV, Mendiola SI, Viñas DJC

Language: Spanish
References: 11
Page: 69-71
PDF size: 133.12 Kb.


ABSTRACT

Objective: To inform the development of a seroma in a patient subjected to inguinal hernioplasty using preperitoneal laparoscopy.
Setting: Third level health care hospital.
Design: Case report
Case report: Man aged 58 years with right inguinal hernia, which in 1971 required inguinal plasty with tension. Due to recurrence since 1993, the patient was subjected to tension-free preperitoneal laparoscopic inguinal hernioplasty using a mesh on June 24, 1997. A remnant sac of approximately 10 cm in size was left since it was impossible to dissect it completely through laparoscopy. One month later he presented an increase of volume to tension of 10 x 10 cm, which did not transilluminate nor reduce. The region was explored, a seroma, containing 500 ml of serous fluid, was excised. The patient developed right testicular atrophy and a granuloma that fistulized to the skin, which closed 8 months later.
Conclusion: Although leaving a distal portion of the hernial sac in situ, in those hernias with giant sacs and difficult to resect, is considered to be an innocuous procedure, the possible development of a seroma should always be considered.


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