Long Period Vs Short Period Drain Placement in Incisional Hernia Repair

Abstract

Objectives: To assess the benefit of the long period drain placement after incisional Hernia
repair and abdominoplasty for reducing the seroma complications.
Methods: A total of 100 patients were included in this study which had been performed at
services institute of medical sciences Lahore between January 2013 to December 2014. In these
patients mesh repair of incisional hernia and abdominoplasty had been performed for their
incisional Hernia and hanging abdomen. These patient had been divided into two groups, group
(1) include 50 patients in which the drain had been left for 3 to 4 days, group(2) include 50 patients
in which the drain had been left for 7 to 15 days.
Results: We found that in the group (1), 20 (40%) patients had develop seroma collections and 8
(21.33%) patients had developed wound infection with this seroma and 5 (13.33%) patients
developed hematoma collections.
In group (2) we found that only 3 (9.33%) patients developed seroma collection and 1 (4%)
patients developed wound infection with this seroma.
Conclusion: There was significant difference in the incidence of seroma formation or surgical
wound infection between the two groups. So we can place drain for long period to prevent seroma
formation.