SynthesisHernia : the journal of hernias and abdominal wall surgery2023
Should routine surgical wound drainage after ventral hernia repair be avoided? A systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of anterior component separation versus posterior component separation with transversus abdominis muscle release for large incisional hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Retromuscular, periprosthetic drainage after hernioplasty with sublay mesh reinforcement in ventral hernias results in less retromuscular fluid collections but longer hospital stay and analgetic use with unclear effect on clinical outcome - a randomized controlled trial.Langenbeck's archives of surgery · 2024Trial
- Robotic versus open mesh-enforced retrorectus ventral hernia repair: a multi-center comparative study.Journal of robotic surgery · 2026Article
- Drain versus no drain in elective open incisional hernia repair: a propensity score matching analysis using the ACHQC database.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Ventral hernia repair with T-line hernia mesh: A multi-institutional experience.Surgery in practice and science · 2025Article
- To drain or not to drain in minimal invasive ventral hernia surgery.Langenbeck's archives of surgery · 2025Article
- Comment to: Should routine surgical wound drainage after ventral hernia repair be avoided.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Drain versus no drain in elective open incisional hernia operations: a registry-based analysis with 39,523 patients.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Are Surgeons Going to Be Left Holding the Bag? Incisional Hernia Repair and Intra-Peritoneal Non-Absorbable Mesh Implant Complications.Journal of clinical medicine · 2024Review
- Comment to: should routine surgical wound drainage after ventral hernia repair be avoided?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo evaluate outcomes of drain use vs. no-drain use during ventral hernia repair.
methodsA PRISMA-compliant systematic review was conducted using the following databases: PubMed, Scopus, Cochrane database, The Virtual Health Library, Clinical trials.gov and Science Direct. Studies comparing use of drains with no-drain during ventral hernia repair (primary or incisional) were included. Wound-related complications, operative time, need for mesh removal and early recurrence were the evaluated outcome parameters.
resultsEight studies reporting a total number of two thousand four hundred and sixty-eight patients (drain group = 1214; no-drain group = 1254) were included. The drain group had a significantly higher rate of surgical site infections (SSI) and longer operative time compared with the no-drain group [odds ratio (OR): 1.63, P = 0.01] and [mean difference (MD): 57.30, P = 0.007], respectively. Overall wound-related complications [OR: 0.95, P = 0.88], seroma formation [OR: 0.66, P = 0.24], haematoma occurrence [OR: 0.78, P = 0.61], mesh removal [OR: 1.32, P = 0.74] and early hernia recurrence [OR: 1.10, P = 0.94] did not differ significantly between the two groups.
conclusionThe available evidence does not seem to support the routine use of surgical drains during primary or incisional ventral hernia repairs. They are associated with increased rates of SSIs and longer total operative time with no significant advantage in terms of wound-related complications.
Indexed as
Identifiers
37179521What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.