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Treatment of persistent complex seroma postventral incisional hernia repair by capsulectomy and scarification using argon beam coagulator
  1. Thabet Ghazal1,
  2. Eman Hamza2 and
  3. Abdul-Wahed Nasir Meshikhes3,4
  1. 1Department of Colorectal Surgery, King Fahad Specialist Hospital in Dammam, Dammam, Saudi Arabia
  2. 2Department of General Surgery, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain
  3. 3Department of Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia
  4. 4Department of Surgery, Al Zahra General Hospital, Qatif, Saudi Arabia
  1. Correspondence to Eman Hamza; emanahamza{at}


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.

  • surgery
  • general surgery

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  • Contributors TG wrote the initial manuscript draft and reviewed the literature. EH participated in drafting the manuscript and did the literature review. A-WNM edited the manuscript and is the primary surgeon in charge of the case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.