Treatment of persistent complex seroma postventral incisional hernia repair by capsulectomy and scarification using
Thabet Ghazal1, Eman Hamza2, Abdul-Wahed Nasir Meshikhes3,4
1Department of Colorectal Surgery, King Fahad Specialist Hospital in Dammam, Dammam, Saudi Arabia.
Abstract:
We present a case of chronic complex seroma following ventral incisional hernia repair with a mesh. The patient was managed initially conservatively by observation followed by multiple percutaneous aspirations and tube drainage. After 6 months of conservative management, the patient remained symptomatic and the surgical scar showed evidence of ulceration, skin necrosis and sinus formation. Therefore, a definitive surgical treatment in the form of capsulectomy and scarification using argon beam coagulator was performed. He remained asymptomatic with no sign of seroma development or hernia recurrence at a 3-year follow-up.
