Wound drains after incisional hernia repair

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

“…40 The role of surgical drains to prevent seroma when using the onlay technique is attractive; however, there is no clear evidence to support its use. 41 The majority of seromas in this study were managed conservatively or with percutaneous drainage, only one seroma led to reoperation and partial mesh removal due to suspected infection, where cultures later proved to be negative. In a PMP cost-utility analysis, survey data from 300 individuals indicated that seroma was one of the most favorable health states after abdominal operations with a visual analog score of 67.4 out of 100 (perfect health), indicating that seroma mattered less to patients when compared to other complications.…”

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

“…40 The role of surgical drains to prevent seroma when using the onlay technique is attractive; however, there is no clear evidence to support its use. 41 The majority of seromas in this study were managed conservatively or with percutaneous drainage, only one seroma led to reoperation and partial mesh removal due to suspected infection, where cultures later proved to be negative. In a PMP cost-utility analysis, survey data from 300 individuals indicated that seroma was one of the most favorable health states after abdominal operations with a visual analog score of 67.4 out of 100 (perfect health), indicating that seroma mattered less to patients when compared to other complications.…”

Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures

“…28 We did not use drains because of the increased risk of infection when mesh is used. 29 Operated patients reported significant improvement in abdominal wall strength at the 1-year follow-up. Biodex System-4 measurements also confirmed that operative repair had an important impact.…”

Utility of drainage in incisional hernia repair with mesh

“…Una revisión del 2013 de la Cochrane Library identificó solo un ensayo clínico que evaluaba la utilidad de los drenajes en la reparación de la hernia incisional, pero la comparación se realizó sobre la base de dos tipos de drenajes y no incluía un grupo control. Dicho estudio concluyó que no había evidencia suficiente para determinar si los drenajes en las heridas de las eventroplastias eran beneficiosos en la evolución 5 . El trabajo de Westphalen, posterior a ese estudio, evaluó a 42 pacientes intervenidos quirúrgicamente por eventraciones y no detectó diferencias en la formación de seroma o infección a partir de la colocación de drenaje 14 , lo que es similar a lo observado en nuestra serie.…”

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

“…40 The role of surgical drains to prevent seroma when using the onlay technique is attractive; however, there is no clear evidence to support its use. 41 The majority of seromas in this study were managed conservatively or with percutaneous drainage, only one seroma led to reoperation and partial mesh removal due to suspected infection, where cultures later proved to be negative. In a PMP cost-utility analysis, survey data from 300 individuals indicated that seroma was one of the most favorable health states after abdominal operations with a visual analog score of 67.4 out of 100 (perfect health), indicating that seroma mattered less to patients when compared to other complications.…”

Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures

“…28 We did not use drains because of the increased risk of infection when mesh is used. 29 Operated patients reported significant improvement in abdominal wall strength at the 1-year follow-up. Biodex System-4 measurements also confirmed that operative repair had an important impact.…”

Utility of drainage in incisional hernia repair with mesh

“…Una revisión del 2013 de la Cochrane Library identificó solo un ensayo clínico que evaluaba la utilidad de los drenajes en la reparación de la hernia incisional, pero la comparación se realizó sobre la base de dos tipos de drenajes y no incluía un grupo control. Dicho estudio concluyó que no había evidencia suficiente para determinar si los drenajes en las heridas de las eventroplastias eran beneficiosos en la evolución 5 . El trabajo de Westphalen, posterior a ese estudio, evaluó a 42 pacientes intervenidos quirúrgicamente por eventraciones y no detectó diferencias en la formación de seroma o infección a partir de la colocación de drenaje 14 , lo que es similar a lo observado en nuestra serie.…”

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

“…40 The role of surgical drains to prevent seroma when using the onlay technique is attractive; however, there is no clear evidence to support its use. 41 The majority of seromas in this study were managed conservatively or with percutaneous drainage, only one seroma led to reoperation and partial mesh removal due to suspected infection, where cultures later proved to be negative. In a PMP cost-utility analysis, survey data from 300 individuals indicated that seroma was one of the most favorable health states after abdominal operations with a visual analog score of 67.4 out of 100 (perfect health), indicating that seroma mattered less to patients when compared to other complications.…”

Operative correction of abdominal rectus diastasis (ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures

“…28 We did not use drains because of the increased risk of infection when mesh is used. 29 Operated patients reported significant improvement in abdominal wall strength at the 1-year follow-up. Biodex System-4 measurements also confirmed that operative repair had an important impact.…”

Utility of drainage in incisional hernia repair with mesh

“…Una revisión del 2013 de la Cochrane Library identificó solo un ensayo clínico que evaluaba la utilidad de los drenajes en la reparación de la hernia incisional, pero la comparación se realizó sobre la base de dos tipos de drenajes y no incluía un grupo control. Dicho estudio concluyó que no había evidencia suficiente para determinar si los drenajes en las heridas de las eventroplastias eran beneficiosos en la evolución 5 . El trabajo de Westphalen, posterior a ese estudio, evaluó a 42 pacientes intervenidos quirúrgicamente por eventraciones y no detectó diferencias en la formación de seroma o infección a partir de la colocación de drenaje 14 , lo que es similar a lo observado en nuestra serie.…”