Subcutaneous fat thickness predicts postoperative seroma following laparoscopic total extra-peritoneal hernioplasty.

Autor: Teng S; Department of Gastrointestinal surgery, Jiaozhou Central Hospital of Qingdao, Qingdao, Shandong Province, China., Xu M; Department of TCM, Suqian First Hospital, Suqian, Jiangsu Province, China., Yin P; Department of Gastrointestinal surgery, Jiaozhou Central Hospital of Qingdao, Qingdao, Shandong Province, China., Li H; Department of Gastrointestinal surgery, Jiaozhou Central Hospital of Qingdao, Qingdao, Shandong Province, China., Wang J; Department of Radiology, Jiaozhou Central Hospital of Qingdao, Qingdao, Shandong Province, China., Liu Z; Department of Gastrointestinal surgery, Jiaozhou Central Hospital of Qingdao, Qingdao, Shandong Province, China. ltt910523@163.com.
Jazyk: angličtina
Zdroj: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2024 Aug; Vol. 28 (4), pp. 1441-1449. Date of Electronic Publication: 2024 Jun 05.
DOI: 10.1007/s10029-024-03078-w
Abstrakt: Purpose: Seroma formation is the most common cause of morbidity associated with laparoscopic inguinal hernia repair. This study aimed to examine the relationship between the thickness of subcutaneous fat (TSF) and the risk of postoperative seroma.
Methods: We reviewed data from a prospective cohort of 229 male patients who underwent laparoscopic total extra-peritoneal (TEP) hernioplasty for indirect inguinal hernia between August 2018 and July 2021. The TSF was assessed using preoperative ultrasound images. The risk factors for postoperative seroma were determined using univariate and multivariate logistic regression models.
Results: Postoperative seromas occurred in 26 patients (11.4%). The factors associated with postoperative seroma included longer hernia duration, larger hernia defects, extension into the scrotum, and greater TSF (P < 0.05). In multivariate analysis, a greater TSF was independently associated with a greater risk of postoperative seroma (per 1 mm: odd ratio [OR] 1.105, 95% confidence interval [CI] 1.048-1.165, P < 0.001; TSF ≥ 26.0 mm: OR 7.033, 95% CI 2.485-19.901, P < 0.001). Similar results were obtained in the subgroup analysis. The area under the curve of TSF for predicting seroma formation was 0.703 (95% CI 0.601-0.806).
Conclusion: Ultrasound-derived TSF may be a promising prognostic factor for postoperative seroma in patients undergoing laparoscopic TEP repair. Further validation is required and then this parameter can be used to improve decision-making process.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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