Comparison of the Outcome of Drain Vs Pressure Dressing in Ventral Hernia Repair
DOI:
https://doi.org/10.37762/jgmds.8-3.187Keywords:
Hernia, Abdominal, Pain, Surgery, EmergencyAbstract
OBJECTIVES:
The purpose of this study was to compare the outcome of drain vs. pressure in ventral hernia repair.
METHODOLOGY:
A cross sectional comparative study conducted at the Department of General Surgery, Hayat Abad Medical Complex Peshawar from January 2018 till December 2019. One twenty six patients both male and female were admitted as elective cases through OPD and were divided into “A” and “B” groups. Experienced surgeons of the unit performed all surgeries. Postoperative pain, seroma/hematoma formation, wound infection and hospital stay was noted in both groups.
RESULTS:
Out of 126 patients, 32 (25.3%) were males while 94 (74.6%) were females with male to female ratio of 1:3. All types of hernia were more common in the age range of 31-50 years. The common complications in both groups were seroma/hematoma formation (7.1%) and wound infection (6.3%). Mean hospital stay was 2-4 days.
CONCLUSION:
Mesh repair is the standard procedure for ventral hernia repair. Postoperative complications are comparatively lesser in pressure dressing than those with drain placement group.
Downloads
Metrics
References
William NS, Bulstrode CJ, Connell PR, editors. Bailey and Love’s Short Practice of Surgery. 25th ed. New York; 2013. p. 948-949
Dabbas N, Adams K, Pearson K, Royle GT. Frequency of abdominal wall hernias: is classical teaching out of date?. JRSM Short Rep. 2011;2(1):1-6 DOI: https://doi.org/10.1258/shorts.2010.010071
Prushuthum G, Revanth K, Aishwarya W. Surgical management of umbilical and paraumbilical hernias. Int Surg J. 2017;4(8):2507-11 DOI: https://doi.org/10.18203/2349-2902.isj20173384
Khalaf AZ. Pattern of inguinal hernia in Al-Basra teaching hospital: a prospective clinical study. Alexandria J Med. 2021;57(1):70-4 DOI: https://doi.org/10.1080/20905068.2021.1880042
Kulacoglu H. Current options in umbilical hernia repair in adult patients. Ulus Cerrahi Derg. 2015;31(3):157-61 DOI: https://doi.org/10.5152/UCD.2015.2955
Ismaeil DA. Mesh repair of paraumbilical hernia, outcome of 58 cases. Ann Med Surg. 2018;30: 28-31 DOI: https://doi.org/10.1016/j.amsu.2018.04.028
Hajibandeh S, Sreh A, Khan A, Subar D, Jones L. Laparoscopic versus open umbilical or paraumbilical hernia repair: a systematic review and meta-analysis. Hernia. 2017;21(6):905-16 DOI: https://doi.org/10.1007/s10029-017-1683-y
Sallam RM, El-Sayed AM, Abdou AM. Comparative study between drained and drainless sub-rectal mesh hernioplasty in paraumbilical hernia. Egypt J Hosp Med. 2018;73(4):6417-22 DOI: https://doi.org/10.21608/ejhm.2018.15103
Sarla GS. Richter’s Hernia: A Case Report. Prac Clin Invest. 2019;1(1):31-4
Arunagiri V, Padmanabhan R, Mayandi P. A short term analysis of surgical management of umbilical and paraumibilical hernia. Turk J Surg. 2018;34:21-3 DOI: https://doi.org/10.5152/turkjsurg.2017.3693
H Kulacoglu, D Yazicioglu, I Oyaylali. Prosthetic repair of umbilical hernias in adults with local anaesthesia in a day case setting: a comprehensive report from a specialized hernia center, Hernia. 2012;16 (2):163-70 DOI: https://doi.org/10.1007/s10029-011-0888-8
Jairam AP, Kaufmann R, Muysoms F, Jeekel J, Lange JF. The feasibility of local anesthesia for the surgical treatment of umbilical hernia: a systematic review of the literature. Hernia. 2017;21(2):223-31 DOI: https://doi.org/10.1007/s10029-017-1577-z
Berger RL, Li LT, Hicks SC, Davila JA, Kao LS, Liang MK. Development and validation of a risk specification score for surgical site occurrence and surgical site infection after open ventral hernia repair. J Am Coll Surg. 2013;217(6):974-82 DOI: https://doi.org/10.1016/j.jamcollsurg.2013.08.003
Westphalen AP, Araujo AC, Zacharias P, Rodrigues ES, Fracaro GB, Lopes-Filho GD. Repair of large incisional hernias: to drain or not to drain - randomize clinical trial. Acta Cirurgica Brasileira. 2015;30(12):844-51 DOI: https://doi.org/10.1590/S0102-865020150120000009
Singla S, Samuvel D, Philip NP, Pramod J. Spectrum of abdominal wall hernias and role of CT in their management. Indian J Med Case Rep. 2013;2(2):64-70
Daudpoto AQ, Mirani S, Memon RA, Abbas Q. A long term follow up: mesh versus Mayo’s repair in paraumbilical hernia. J Univ Med Dent Coll. 2013;4(1):12-6
Nguyen MT, Berger RL, Hicks SC, Davila JA, Li LT, Kao LS, et al. Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral hernianiorrhaphy: a systemic review and meta-analysis. JAMA Surg. 2014;149(5):415-21 DOI: https://doi.org/10.1001/jamasurg.2013.5014
Berger RL, Li LT, Hicks SC, Liang MK. Suture versus preperitoneal polypropylene mesh for elective umbilical hernia repairs. J Surg Res. 2014;192(2):426-31 DOI: https://doi.org/10.1016/j.jss.2014.05.080
Massey LH, Pathak S, Bhargava A, Smart NJ, Daniels IR. The use of adjuncts to reduce seroma in open incisional hernia repair: a systematic review. Hernia. 2018;22(2):273-83 DOI: https://doi.org/10.1007/s10029-017-1690-z
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Shehla Faridoon, Muhammad Shah, Muhammad Iftikhar, Siddique Ahmad, Rashid Aslam, Ainul Hadi, Muhammad Alam
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
