Internal Orifice Narrowing Reduces Seroma Formation in Laparoscopic Inguinoscrotal Hernia Repair

Internal orifice narrowing achieved by suturing the distal hernia sac in laparoscopic repair of inguinoscrotal hernias significantly reduces the incidence and volume of seroma formation. A double-blind randomized controlled trial with 58 patients showed a lower seroma incidence at 7 days and reduced seroma volume on postoperative day 7 in the experimental group. Neither chronic pain nor early recurrence were observed in either group, and no other postoperative complications occurred during the follow-up period of 6-18 months.