Chronic posterior seroma with neoperitoneum following laparoscopic ventral hernia repair: treatment algorithm.
Laparoscopic ventral hernia repair (LVHR) is now widely performed. One of the most common complications of this procedure is seroma. Most seromas usually form anterior to the mesh and resolve with conservative management. In rare cases, some patients develop a pseudoneoperitoneum deep to the mesh which actively secretes fluid, forming a collection. We present a group of seven patients with persistent seroma posterior to the mesh and a possible treatment algorithm.
Tsereteli
Z
Z
Department of General Surgery, University of Missouri Health Care, Columbia, MO 65212, USA.
Ramshaw
B
B
Ramaswamy
A
A
D000328:Adult; D000465:Algorithms; D002908:Chronic Disease; D020878:Device Removal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation; D049291:Seroma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013526:Surgical Mesh / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome