Association of body mass index and operative duration with seroma formation following incisional hernia repair by composite mesh and polypropylene mesh

Asif Aman; Jalal Ahmed; M. Meher Ullah; Satya Ranjan Mondal; Sabrina Akhter Qurashi; Imtiaz Faruk; Golam Mustafa

doi:10.18203/2349-2902.isj20251898

Authors

Asif Aman Department of Surgery, Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh
Jalal Ahmed Department of Surgery, Mugda Medical College Hospital, Dhaka, Bangladesh
M. Meher Ullah Department of Surgery, Satkhira Medical College Hospital, Satkhira, Bangladesh
Satya Ranjan Mondal Department of Surgery, Bangladesh Medical College Hospital, Dhaka, Bangladesh
Sabrina Akhter Qurashi Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
Imtiaz Faruk Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
Golam Mustafa Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2349-2902.isj20251898

Keywords:

BMI, Incisional hernia, Mesh repair, Operative duration, Seroma

Abstract

Background: Seroma is a frequent complication after incisional hernia repair, with limited data on the impact of patient and procedural factors. This study aimed to assess the association of BMI and operative duration with seroma formation using composite and polypropylene mesh. The aim of the study was to evaluate the relationship between body mass index (BMI) and operative duration with the occurrence of seroma formation following incisional hernia repair using composite mesh and polypropylene mesh.

Methods: This longitudinal study, conducted at the Department of Surgery, Dhaka Medical College Hospital from October 2022 to September 2023, included 72 adult patients undergoing open incisional hernia repair with either polypropylene or composite mesh. Seroma formation was the primary outcome, with BMI, operative time and defect size as confounders. Follow-up was on days 7, 14 and 28 and data were analyzed using SPSS v26.0, with statistical significance set at p<0.05.

Results: There was no significant link between BMI and seroma formation (p=0.783). Group A had a higher incidence and volume of seroma at all postoperative time points, though not significantly different from Group B. Operative time was significantly shorter in Group B (85.1±19.8 minutes) compared to Group A (96.4±24.4 minutes; p=0.035), but operative time showed no significant impact on seroma formation (p=0.961).

Conclusions: This study concludes that BMI and operative time do not significantly influence postoperative seroma formation following incisional hernia repair with either composite or polypropylene mesh.

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References

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