Retromuscular drain versus no drain in robotic retromuscular ventral hernia repair: a propensity score-matched analysis of the abdominal core health quality collaborative.
Hernia
; 27(2): 409-413, 2023 04.
Article
em En
| MEDLINE
| ID: mdl-36307620
ABSTRACT
BACKGROUND:
Drains may be placed during robotic retromuscular ventral hernia repair (rVHR) to decrease wound morbidity, but their use is controversial. We aimed to assess the impact of retromuscular drain placement on wound morbidity after robotic rVHR.METHODS:
Patients with and without drains after robotic rVHR in the Abdominal Core Health Quality Collaborative (ACHQC) registry were compared using a propensity score-matched analysis. Outcomes included surgical site occurrences (SSO), surgical site infections (SSI), and surgical site occurrences requiring procedural interventions (SSOPI) at 30 days.RESULTS:
Propensity score matching compared 580 patients with drains to 580 without drains. The groups were well matched with respect to hernia width (drain 8.0 cm [IQR 6.0; 10.0] vs no drain 8.0 cm [IQR 5.0; 10.0]; P = 0.399) and transversus abdominis release (drain 409 (70.5%) vs no drain 408 (70.3%); P = 0.949). At 30 days, patients with drains had fewer seromas than those without drains (22 (3.8%) vs 88 (15.2%); P < 0.0001). Rates of SSIs and SSOPIs were similar between the two groups at 30 days. Logistic regression analysis showed drain placement lowered the risk of an SSO compared to no drain placement (OR 0.32, CI 0.21-0.47; P < 0.0001). Hospital stay was longer for patients with drains than those without drains (2.0 days [IQR 1.0; 3.0] vs 1.0 day [IQR 1.0; 2.0], respectively; P < .0001).CONCLUSION:
Drain placement during robotic rVHR is associated with decreased postoperative seroma occurrence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Robóticos
/
Hérnia Ventral
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
Hernia
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos