Wound drains after incisional hernia repair

The Cochrane Database of Systematic Reviews
K S GurusamyK Samraj

Abstract

Incisional hernias are caused by the failure of the wall of the abdomen to close after abdominal surgery, leaving a hole through which the viscera protrude. Incisional hernias are repaired by further surgery. Surgical drains are frequently inserted during hernia repair with the aim of facilitating fluid drainage and preventing complications. Traditional teaching has recommended the use of drains after incisional hernia repair other than for laparoscopic ventral hernia repair. More than 50% of open mesh repairs of ventral hernias have drains inserted. However, there is uncertainty as to whether drains are associated with benefits or harm to the patient. To determine the effects on wound infection and other outcomes, of inserting a wound drain during surgery to repair incisional hernias, and, if possible, to determine the comparative effects of different types of wound drain after incisional hernia repair. For this third update we searched the Cochrane Wounds Group Specialised Register (Searched September 8, 2011), the Cochrane Central Register of Controlled Trials (CENTRAL), The Cochrane Library Issue 8, 2011, Ovid MEDLINE (2010 to September 2011), Ovid EMBASE (2007 to September 2011), and EBSCO CINAHL (2010 to September 2011). ...Continue Reading

Citations

Jan 7, 2016·Acta Cirúrgica Brasileira·André Pereira WestphalenGaspar de Jesus Lopes Filho
Jan 8, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G DapriG-B Cadière
Oct 3, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D J TubreR J Fitzgibbons
Jan 10, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Y LuoR Hodgson

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