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改良衰弱指数和白蛋白-纤维蛋白原比率可预测腹腔镜 TAPP 术后血清肿
Authors Zhou Y, Ge Y, Liu J, Shen W, Gu H, Cheng G
Received 22 April 2023
Accepted for publication 8 August 2023
Published 22 August 2023 Volume 2023:18 Pages 1397—1403
DOI https://doi.org/10.2147/CIA.S418338
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Maddalena Illario
Background: Postoperative seroma is the most common minor complication after inguinal hernia repair surgery and can have negative consequences. The objective of this study was to identify potential risk factors for postoperative seroma.
Methods: This study consecutively included 354 elderly patients with inguinal hernia who underwent laparoscopic Transabdominal preperitoneal Patch Plasty (TAPP). Seroma diagnosis was conducted by the same experienced surgeon based on the physical examinations combined with ultrasound. Risk factors for seroma were identified through univariate analysis and subsequently included in the binary multivariate logistic regression model.
Results: A total of 40 patients experienced postoperative complications of seroma, with an incidence rate of 11.3% (40/354). The binary logistic regression analysis revealed that obesity (OR: 2.98, 95% CI: 1.20– 7.41, P = 0.018), disease duration ≥ 4.5 years (OR: 4.88, 95% CI: 2.14– 11.18, P < 0.001), albumin-fibrinogen ratio (AFR) level < 9.25 (OR: 6.13, 95% CI: 2.00– 18.76, P = 0.001), and modified frailty index (mFI) score ≥ 0.225 (OR: 6.38, 95% CI: 2.69– 15.10, P < 0.001) were four independent risk factors for postoperative seroma.
Conclusion: Obesity, prolonged disease duration, decreased AFR level, and increased mFI score independently predict postoperative seroma after laparoscopic TAPP.
Keywords: inguinal hernia, Transabdominal preperitoneal Patch Plasty, modified frailty index, albumin-fibrinogen ratio, risk factor