Should routine surgical wound drainage after ventral hernia repair be avoided? a systematic review and meta-analysis
Author
Mohamedahmed, A Y YZaman, S
Ghassemi, N
Ghassemi, A
Wuheb, A A
Abdalla, H E E
Hajibandeh, S
Hajibandeh, S
Affiliation
Royal Wolverhampton NHS Trust; Sandwell and West Birmingham NHS Trust; Royal Stoke University Hospital; Catholic University of the Sacred Heart; et al.Publication date
2023-05-14Subject
Surgery
Metadata
Show full item recordAbstract
Aims: To evaluate outcomes of drain use vs. no-drain use during ventral hernia repair. Methods: A PRISMA-compliant systematic review was conducted using the following databases: PubMed, Scopus, Cochrane database, The Virtual Health Library, Clinical trials.gov and Science Direct. Studies comparing use of drains with no-drain during ventral hernia repair (primary or incisional) were included. Wound-related complications, operative time, need for mesh removal and early recurrence were the evaluated outcome parameters. Results: Eight studies reporting a total number of two thousand four hundred and sixty-eight patients (drain group = 1214; no-drain group = 1254) were included. The drain group had a significantly higher rate of surgical site infections (SSI) and longer operative time compared with the no-drain group [odds ratio (OR): 1.63, P = 0.01] and [mean difference (MD): 57.30, P = 0.007], respectively. Overall wound-related complications [OR: 0.95, P = 0.88], seroma formation [OR: 0.66, P = 0.24], haematoma occurrence [OR: 0.78, P = 0.61], mesh removal [OR: 1.32, P = 0.74] and early hernia recurrence [OR: 1.10, P = 0.94] did not differ significantly between the two groups. Conclusion: The available evidence does not seem to support the routine use of surgical drains during primary or incisional ventral hernia repairs. They are associated with increased rates of SSIs and longer total operative time with no significant advantage in terms of wound-related complications.Citation
Mohamedahmed AYY, Zaman S, Ghassemi N, Ghassemi A, Wuheb AA, Abdalla HEE, Hajibandeh S, Hajibandeh S. Should routine surgical wound drainage after ventral hernia repair be avoided? A systematic review and meta-analysis. Hernia. 2023 Aug;27(4):781-793. doi: 10.1007/s10029-023-02804-0Type
ArticlePMID
37179521Journal
HerniaPublisher
Springerae974a485f413a2113503eed53cd6c53
10.1007/s10029-023-02804-0