A comparative study of use of negative drain in lichenstein repair for large inguinal hernia repair

Authors

  • Abhay Kumar Aaudichya Department of Surgery, Medical College Rajkot, Gujarat
  • Bhavesh Vaishnani Department of Surgery, Medical College Rajkot, Gujarat
  • Ilias Juneja Department of Surgery, Medical College Rajkot, Gujarat
  • Ajay Rajyaguru Department of Surgery, Medical College Rajkot, Gujarat
  • Pravin Dandi Department of Surgery, Medical College Rajkot, Gujarat
  • Rahul Singh Department of Surgery, Medical College Rajkot, Gujarat

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161759

Keywords:

Hernia repair, Drain, Groin hernia, Hematoma, Infection, Anticoagulant

Abstract

Background: Recently, with more attention to patient outcomes, post-operative seroma has noted as complication after open inguinal hernia repair. The main aim of the study was to compare and correlate the therapeutic effectiveness of negative suction drain versus no drain in large inguinal hernia repair.

Methods: The present study is a randomized study of 400 cases of inguinal hernias admitted in PDU Government Medical College and Hospital, Rajkot, during the study period of April 2012 to March 2015. The cases for the purpose of the study were selected on the basis of the random sampling method and after taking valid informed consent.

Results: The drains were used in 120 of 280 open mesh repairs of inguinal hernias. The patients who had drains were older, had cardiovascular disease, higher ASA class, and received anticoagulant regimens more often, had indirect type hernia more often, more commonly had emergency operations, had complicated presentations such as incarceration and strangulation, therefore had resections more often, had local complication such as hematoma, had longer duration of operation.

Conclusion: Drain is more commonly used in patient who had more dissection and longer duration of operation. Drain used in selected patients seems to not increase infection risk but associated with longer hospital stay.

 

References

Simchen E, Rozin R, Wax Y. The Israeli Study of Surgical Infection of drains and the risk of wound infection in operations for hernia. Surg Gynecol Obstet. 1990;170(4):331-7.

Peiper C, Conze J, Ponschek N, Schumpelick V. Value of subcutaneous drainage in repair of primary inguinal hernia. A prospective randomized study of 100 cases] Chirurg. 1997;68(1):63-7.

Kuo YC, Mondschein JI, Soulen MC, Patel AA, Nemeth A, Stavropoulos SW, et al. Drainage of collections associated with hernia mesh: is it worthwhile? J Vasc Interv Radiol. 2010;21(3):362-6.

Beacon J, Hoile RW, Ellis H. A trial of suction drainage ininguinal hernia repair. Br J Surg. 1980;67(8):554-5.

Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. Am J Surg. 1989;157(2):188-93.

Jaenigen BM, Hopt UT, Obermaier R. Inguinal hernia: mesh or no mesh in open repair? Zentralbl Chir. 2008;133(5):440-5.

Scott NW, McCormack K, Graham P, Go PM, Ross SJ, Grant AM. Open mesh versus non-mesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev. 2002;(4):CD002197.

EU Hernia Trialists Collaboration. Repair of groin hernia with synthetic mesh (Meta-analysis of randomized controlled trials). Ann Surg. 2002;233(3):322-32.

Grant AM. Laparoscopic versus open groin hernia repair: meta-analysis of randomized trials based on individual patient data. The EU Hernia Trialists Collaboration. Hernia. 2002;6(1):2-10.

Smietański M, Lukasiewicz J, Bigda J, Lukianski M, Witkowski P, Sledzinski Z. Factors influencing surgeons' choice of method for hernia repair technique. Hernia. 2005;9(1):42-5.

Ismail M, Garg M, Rajagopal M, Garg P. Impact of closed-suction drain in preperitoneal space on the incidence of seroma formation after laparoscopic total extraperitoneal inguinal hernia repair. Surg Laparosc Endosc Percutan Tech. 2009;19(3):263-6.

Lau H, Lee F. Seroma following endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc. 2003;17(11):1773-7.

Rodrigues AJ Jr, Jin HY, Utiyama EM, Rodrigues CJ. The Stoppa procedure in inguinal hernia repair: to drain or not to drain. Rev Hosp Clin Fac Med Sao Paulo. 2003;58(2):97-102.

Moro ML, Carrieri MP, Tozzi AE, Lana S, Greco D. Risk factors for surgical wound infections in clean surgery: a multicenter study. Italian PRINOS Study Group. Ann Ital Chir. 1996;67(1):13-9.

Tabaqchali MA, Hanson JM, Proud G. Drains for thyroidectomy/ parathyroidectomy: fact or fiction? Ann R Coll Surg Engl. 1999;81(5):302-5.

Tang R, Chen HH, Wang YL, Changchien CR, Chen JS, Hsu KC, et al. Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients. Ann Surg. 2001;234(2):181-9.

Pessaux P, Msika S, Atalla D, Flamant Y. Association for Surgical Research. Risk factors for postoperative infectious complications in noncolorectal abdominal surgery: a multivariate analysis based on a prospective multicenter study of 4718 patients. Arch Surg. 2003;138(3):314.

Debry C, Renou G, Fingerhut A. Drainage after thyroid surgery: a prospective randomized study. J Laryngol Otol. 1999;113(1):49-51.

Benedetti-Panici P, Maneschi F, Cutillo G, D'Andrea G, di Palumbo VS, Conte M, et al. A randomized study comparing retroperitoneal drainage with no drainage after lymphadenectomy in gynecologic malignancies. Gynecol Oncol. 1997;65(3):478-82.

Hurtado-López LM, López-Romero S, Rizzo-Fuentes C,Zaldívar-Ramírez FR, Cervantes-Sánchez C. Selective use of drains in thyroid surgery. Head Neck. 2001;23(3):189-93.

Jain PK, Sowdi R, Anderson AD, MacFie J. Randomized clinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer. Br J Surg. 2004;91(1):54-60.

Samraj K, Gurusamy KS. Wound drains following thyroid surgery. Cochrane Database Syst Rev. 2007;(4):CD006099.

Saratzis A, Soumian S, Willetts R, Rastall S, Stonelake PS. Use of multiple drains after mastectomy is associated with more patient discomfort and longer postoperative stay. Clin Breast Cancer. 2009;9(4):243-6.

Perkins SW, Williams JD, Macdonald K, Robinson EB. Prevention of seromas and hematomas after face-lift surgery with the use of postoperative vacuum drains. Arch Otolaryngol Head Neck Surg. 1997;123(7):743-5.

Scevola S, Youssef A, Kroll SS, Langstein H. Drains and seromas in TRAM flap breast reconstruction. Ann Plast Surg. 2002;48(5):511-4.

Downloads

Published

2017-01-02

How to Cite

Aaudichya, A. K., Vaishnani, B., Juneja, I., Rajyaguru, A., Dandi, P., & Singh, R. (2017). A comparative study of use of negative drain in lichenstein repair for large inguinal hernia repair. International Journal of Research in Medical Sciences, 4(6), 2054–2058. https://doi.org/10.18203/2320-6012.ijrms20161759

Issue

Section

Original Research Articles