Objective To analyze and explore the influencing factors of hematoma formation after laparoscopic inguinal hernia repair, identify the major risk factors, and provide a basis for clinical intervention. Methods A total of 98 patients who underwent laparoscopic inguinal hernia repair at the Surgery Department of Shantou Central Hospital between January 2020 and December 2023 were enrolled in this study. All patients received laparoscopic inguinal hernia repair surgery. Basic patient information, hernia-related characteristics, surgical and postoperative details were collected. Postoperative local color Doppler ultrasonography was performed to record the occurrence of hematoma. Univariate and multivariate Logistic regression analyses were conducted to investigate the factors influencing postoperative hematoma. Results A total of 11 patients developed hematoma, accounting for 11.22% of the total cases. Multivariate Logistic regression analysis revealed that age ≥65 years, BMI ≥24 kg/m2, direct hernia, bilateral hernia, hernia sac diameter ≥4 cm, total extraperitoneal approach (TEP) procedure, operation duration ≥60 minutes, intraoperative blood loss ≥10 mL, and the use of conventional mesh and biological protein glue fixation were independent risk factors for postoperative hematoma (P<0.05). Conclusion The occurrence of hematoma after laparoscopic inguinal hernia repair is closely related to multiple factors including patient characteristics, surgical technique, mesh type, and fixation method. Rational selection of surgical approach, optimization of intraoperative procedures, and postoperative management can help reduce the incidence of hematoma and improve patient prognosis.
Key words
inguinal hernia /
laparoscopic hernia repair /
hematoma /
influencing factors /
risk factors
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