Evaluation of seroma formation in mesh fixation techniques for inguinal hernia repair.

Abstract

Seroma formation is a common complication after Lichtenstein tension-free inguinal hernia repair. Therefore, it is of interest to compare the incidence of seroma formation and related postoperative outcomes among non-absorbable sutures, absorbable sutures and fibrin glue fixation techniques. Hence, a total of 180 patients were randomly assigned to three groups for mesh fixation. Fibrin glue fixation resulted in shorter operative times and less postoperative pain but had a higher incidence of seroma formation. Suture-based fixation methods demonstrated fewer seromas and comparable recurrence and complication rates.