Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study
Introduction: Ventral Hernia Repair (VHR) is one of the most frequently performed surgical procedures worldwide. The two commonly used surgical techniques for ventral hernia are onlay and sublay repairs. The use of drains in hernioplasty is controversial, as some studies suggest an increased inc...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18329/65106_CE[Ra1]_F(KR)_PF1(HB_OM)_QC(KK_IS_OM)_PFA2(HB_KM)_PN(KM).pdf |
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| author | Lejeune Ramot Mahalakshmi Sivamarieswaran Ramalingam MANIMARAN PETHURAJ |
| author_facet | Lejeune Ramot Mahalakshmi Sivamarieswaran Ramalingam MANIMARAN PETHURAJ |
| author_sort | Lejeune Ramot Mahalakshmi |
| collection | DOAJ |
| description | Introduction: Ventral Hernia Repair (VHR) is one of the most
frequently performed surgical procedures worldwide. The two
commonly used surgical techniques for ventral hernia are
onlay and sublay repairs. The use of drains in hernioplasty is
controversial, as some studies suggest an increased incidence
of surgical site infections.
Aim: This study aims to compare the postoperative outcomes
between patients who had drains placed and those who did
not, undergoing elective open VHR.
Materials and Methods: A prospective interventional study
was conducted at the Department of General Surgery, Chettinad
Hospital and Research Institute, Kelambakkam, Tamil Nadu,
India. The study duration was one year, from September 2020
to September 2021. A total of 50 hernia patients participated,
with 25 undergoing drainless and 25 undergoing drain onlay
mesh hernioplasty. Surgical complications such as surgical site
infection, seroma formation, and duration of hospital stay were
observed and compared between the two groups. Independent
t-tests and Chi-square tests were used to compare continuous
and categorical variables, respectively.
Results: Out of 50 patients, 15 (60%) in the drain group were
aged between 11 to 60 years, while 11 (44%) in the drainless
group were aged between 18 to 40 years. Postoperative seroma
was present in 6 (12%) patients, with an equal distribution in
both groups (p-value >0.05). Surgical site infection was present
in 3 (60%) and 2 (40%) patients in group A and group B,
respectively (p-value >0.05). The mean duration of hospital stay
was 6.36±1.89 and 4.92±1.91 days in group A and group B,
respectively (p-value=0.010).
Conclusion: The presence or absence of a drain did not
significantly affect the formation of seroma among the
participants. The incidence of infection did not vary significantly
with or without the use of a drain. |
| first_indexed | 2024-03-12T00:07:02Z |
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| id | doaj.art-479ebe26c645413f82f9aabc7e20e97f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-12T00:07:02Z |
| publishDate | 2023-08-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-479ebe26c645413f82f9aabc7e20e97f2023-09-16T10:34:33ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-08-011708010410.7860/JCDR/2023/65106.18329Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional StudyLejeune Ramot Mahalakshmi0Sivamarieswaran Ramalingam1MANIMARAN PETHURAJ2Assistant Professor, Department of General Surgery, Srm Medical College Hospital and Research Centre, Chengalpattu, Tamil Nadu, India.Associate Professor, Department of General Surgery, Srm Medical College Hospital and Research Centre, Chengalpattu, Tamil Nadu, India.Assistant Professor, Department of General Surgery, Srm Medical College Hospital and Research Centre, Chengalpattu, Tamil Nadu, India.Introduction: Ventral Hernia Repair (VHR) is one of the most frequently performed surgical procedures worldwide. The two commonly used surgical techniques for ventral hernia are onlay and sublay repairs. The use of drains in hernioplasty is controversial, as some studies suggest an increased incidence of surgical site infections. Aim: This study aims to compare the postoperative outcomes between patients who had drains placed and those who did not, undergoing elective open VHR. Materials and Methods: A prospective interventional study was conducted at the Department of General Surgery, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India. The study duration was one year, from September 2020 to September 2021. A total of 50 hernia patients participated, with 25 undergoing drainless and 25 undergoing drain onlay mesh hernioplasty. Surgical complications such as surgical site infection, seroma formation, and duration of hospital stay were observed and compared between the two groups. Independent t-tests and Chi-square tests were used to compare continuous and categorical variables, respectively. Results: Out of 50 patients, 15 (60%) in the drain group were aged between 11 to 60 years, while 11 (44%) in the drainless group were aged between 18 to 40 years. Postoperative seroma was present in 6 (12%) patients, with an equal distribution in both groups (p-value >0.05). Surgical site infection was present in 3 (60%) and 2 (40%) patients in group A and group B, respectively (p-value >0.05). The mean duration of hospital stay was 6.36±1.89 and 4.92±1.91 days in group A and group B, respectively (p-value=0.010). Conclusion: The presence or absence of a drain did not significantly affect the formation of seroma among the participants. The incidence of infection did not vary significantly with or without the use of a drain.https://www.jcdr.net/articles/PDF/18329/65106_CE[Ra1]_F(KR)_PF1(HB_OM)_QC(KK_IS_OM)_PFA2(HB_KM)_PN(KM).pdfhernia repairhospital staypostoperative infectionseroma |
| spellingShingle | Lejeune Ramot Mahalakshmi Sivamarieswaran Ramalingam MANIMARAN PETHURAJ Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study Journal of Clinical and Diagnostic Research hernia repair hospital stay postoperative infection seroma |
| title | Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study |
| title_full | Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study |
| title_fullStr | Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study |
| title_full_unstemmed | Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study |
| title_short | Effectiveness of Drainless versus Drained Onlay Mesh Hernioplasty in Patients Undergoing Elective Open Ventral Hernia Repair: A Prospective Interventional Study |
| title_sort | effectiveness of drainless versus drained onlay mesh hernioplasty in patients undergoing elective open ventral hernia repair a prospective interventional study |
| topic | hernia repair hospital stay postoperative infection seroma |
| url | https://www.jcdr.net/articles/PDF/18329/65106_CE[Ra1]_F(KR)_PF1(HB_OM)_QC(KK_IS_OM)_PFA2(HB_KM)_PN(KM).pdf |
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