Hernia : the journal of hernias and abdominal wall surgery · 2026
Study on the application of modified intraoperative gas evacuation combined with perioperative pressure and cold compress in TAPP repair of inguinal hernias.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yan Yafei, Bao Yuan, Sun Yunyun, Fan Xuesheng
Аннотация
PURPOSE: This study aimed to investigate the clinical efficacy of modified intraoperative gas evacuation combined with immediate postoperative pressure and local cold compress in reducing postoperative seroma formation following laparoscopic TAPP repair of larger inguinal hernias.
METHODS: This single-center, prospective, observational real-world study analyzed clinical data from 196 patients with larger inguinal hernias admitted to our hospital between January 2025 and August 2025. Based on perioperative management differences, patients were divided into two groups: the control group (n = 98) underwent TAPP repair with routine postoperative care, including inguinal compression bandaging applied upon ward transfer. The experimental group (n = 98) received standard care plus strict intraoperative preperitoneal and scrotal gas evacuation, followed by immediate postoperative inguinal compression bandaging and intermittent cold compress application. The operative time, postoperative pain VAS scores, postoperative scrotal distension VAS scores, and incidence of postoperative seroma were compared between the two groups of patients.
RESULTS: A total of 196 patients were included. Early postoperative distension and acute pain in the Experimental group were significantly lower than in the Control group (p < 0.05), while no significant difference was observed long-term (p > 0.05); Only 2 cases (2.0%) in the Experimental group developed postoperative seroma, significantly lower than the 9 cases (9.2%) in the Control group (p < 0.05). Postoperative comfort in the Experimental group was superior to that in the Control group.
CONCLUSION: For patients with larger inguinal hernias, meticulous management involving thorough intraoperative gas evacuation to eliminate dead space, combined with early postoperative pressure and cold compress, can significantly reduce the risk of postoperative seroma, alleviate postoperative pain, and is worthy of clinical promotion.
METHODS: This single-center, prospective, observational real-world study analyzed clinical data from 196 patients with larger inguinal hernias admitted to our hospital between January 2025 and August 2025. Based on perioperative management differences, patients were divided into two groups: the control group (n = 98) underwent TAPP repair with routine postoperative care, including inguinal compression bandaging applied upon ward transfer. The experimental group (n = 98) received standard care plus strict intraoperative preperitoneal and scrotal gas evacuation, followed by immediate postoperative inguinal compression bandaging and intermittent cold compress application. The operative time, postoperative pain VAS scores, postoperative scrotal distension VAS scores, and incidence of postoperative seroma were compared between the two groups of patients.
RESULTS: A total of 196 patients were included. Early postoperative distension and acute pain in the Experimental group were significantly lower than in the Control group (p < 0.05), while no significant difference was observed long-term (p > 0.05); Only 2 cases (2.0%) in the Experimental group developed postoperative seroma, significantly lower than the 9 cases (9.2%) in the Control group (p < 0.05). Postoperative comfort in the Experimental group was superior to that in the Control group.
CONCLUSION: For patients with larger inguinal hernias, meticulous management involving thorough intraoperative gas evacuation to eliminate dead space, combined with early postoperative pressure and cold compress, can significantly reduce the risk of postoperative seroma, alleviate postoperative pain, and is worthy of clinical promotion.