Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial
Acta cir. bras
;
30(12): 844-851, Dec. 2015. tab
Artículo
en Inglés
| LILACS
| ID: lil-769503
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Infección de la Herida Quirúrgica
/
Drenaje
/
Seroma
/
Herniorrafia
/
Hernia Incisional
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Acta cir. bras
Asunto de la revista:
Cirugía General
/
Procedimentos Cir£rgicos Operat¢rios
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Estadual do Oeste do Paraná/BR
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