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  Vol. 144 No. 6, June 2009 TABLE OF CONTENTS
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Image of the Month—Diagnosis


Arch Surg. 2009;144(6):590.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Seroma

The histological examination revealed that the cystic mass contained reactive connective tissue. Thus, it was a well-organized seroma.

Seroma is a collection of serous fluid in the surgical wound. The size of the collection relates to the amount of dissection done between tissue planes and the amount of empty space in the surgical wound.1 The exact pathogenesis of seroma remains a matter of debate. It has been postulated to be due to a local inflammatory response to the mechanical injury incurred by tissue dissection, as well as to the introduction of foreign material into the body.2 The main risk factors are advanced age, big hernia sac, scrotal hernia, and transection of the sac with the distal part left behind.1, 3

Because it mimics a postoperative recurrence of hernia, seroma has been a concern to hernia patients.4 Seroma formation after laparoscopic inguinal hernia repair is reported with various rates (1.9%-22.9%) in the . . . [Full Text of this Article]

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RELATED ARTICLE

Image of the Month—Quiz Case
Evangelos P. Misiakos, Theodore Liakakos, Urania Preza, Constantinos Fotiadis, and Anastasios Macheras
Arch Surg. 2009;144(6):589.
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