Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial
Acta cir. bras
; Acta cir. bras;30(12): 844-851, Dec. 2015. tab
Article
in En
| LILACS
| ID: lil-769503
Responsible library:
BR1.1
ABSTRACT
ABSTRACT PURPOSE:
To evaluate the occurrence of seroma and surgical wound infection after surgery.METHODS:
A total of 42 individuals with large incisional hernias were subjected toonlay mesh repair. Following the mesh placement, the participants were randomly allocated to two groups. In group 1, closed-suction drains were placed in the subcutaneous tissue, while progressive tension sutures were performed in group 2. The participants were subjected to clinical and ultrasound assessment to detect seroma and surgical wound infection at three time-points after surgery.RESULTS:
The occurrence of seroma at the early, intermediate or late assessments was respectively 19.0%, 47.6%, 52.4% in group 1 and 28.6%, 57.1%, 42.9% in group 2 and was not significantly different between groups (p 0.469; 0.631; 0.619). Surgical wound infection occurred 19% in group 1 and 23.8% in group 2, without a significant difference between the groups (p>0.999).CONCLUSION:
The frequency of seroma and infection did not exhibit significant differences between individuals subjected to onlay mesh repair of large incisional hernias with drains or progressive tension sutures without drainage.Key words
Full text:
1
Index:
LILACS
Main subject:
Surgical Wound Infection
/
Drainage
/
Seroma
/
Herniorrhaphy
/
Incisional Hernia
Type of study:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Acta cir. bras
Journal subject:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2015
Type:
Article