Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial
Acta cir. bras
;
30(12): 844-851, Dec. 2015. tab
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Infecção da Ferida Cirúrgica
/
Drenagem
/
Seroma
/
Herniorrafia
/
Hérnia Incisional
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Acta cir. bras
Assunto da revista:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Estadual do Oeste do Paraná/BR
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