Closed suction drainage using Lichtenstein technique in preventing wound complications following inguinal hernioplasty: brief report

Hemmati , Hamid Reza; Sadat-Hashemi , Mehdi; Ghorbani , Raheb; Jafari , Toraj

Volume 72, Issue 12 (March 2015) Tehran Univ Med J 2015, 72(12): 860-864 | Back to browse issues page

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Hemmati H R, Sadat-Hashemi M, Ghorbani R, Jafari T. Closed suction drainage using Lichtenstein technique in preventing wound complications following inguinal hernioplasty: brief report . Tehran Univ Med J 2015; 72 (12) :860-864
URL: http://tumj.tums.ac.ir/article-1-6538-en.html

Closed suction drainage using Lichtenstein technique in preventing wound complications following inguinal hernioplasty: brief report

Hamid Reza Hemmati¹

, Mehdi Sadat-Hashemi²

, Raheb Ghorbani ^*

³, Toraj Jafari⁴

1- Thoracic Surgeon, Department of Surgery, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
2- Research Center for Social De-terminants of Health, Department of Community medicine, Semnan Uni-versity of Medical Sciences, Sem-nan, Iran.
3- Research Center for Social De-terminants of Health, Department of Community medicine, Semnan Uni-versity of Medical Sciences, Sem-nan, Iran. , r_ghorbani@semums.ac.ir
4- General Practitioner, Semnan University of Medical Sciences, Semnan, Iran.

Abstract: (6293 Views)

Background: Inguinal hernia is a common surgical problem which increases with aging especially in men. A common method for treatment is surgical repair using prosthesis, Lichtenstein technique. One frequent complication after inguinal herniorrhaphy is soft tissues seroma. There are several methods to prevent or to drain seroma. Some surgeons suggest the insertion of closed suction drainage system but others disagree. Methods: In this clinical trial study, 42 patients who are candidate for hernia repairing (Lichtenstein technique), referred to Amir Al-Momenin Hospital in Semnan, Iran, from 2011 to 2012, were randomly divided into two groups. So that, the list of eligible patients in the study, were numbered, and then using the patients' code, patients, who assigned an odd number in the registration list, were allocated to group 1, the remainder were placed in group two. The two first numbers in registration list (1 or 2), were randomly assigned to groups. Group 1 underwent hernia surgery without closed suction drainage and the second group underwent hernia surgery with closed suction drainage. The patients were evaluated for seroma, hematoma or wound infection after 24 hours, during days 4 to 7 and days 10 to 15 following surgery. Results: No adverse event including hematoma, seroma or wound infection occurred in either group with or without closed suction drainage in the first 10 days after surgery. Only one patient carried wound infection during days 10 to 15 following operation who was in the group with closed drainage (P=1.00). Conclusion: In this study, Seroma and hematoma was not observed in patients with and without closed suction drainage. To avoid drains' complications, indiscriminate use of antibiotics, prolonged hospital stay, we do not recommend the use of drains in this type of surgery.

Keywords: clinical trial, drainage, inguinal hernia, outcome assessment, seroma

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Type of Study: Brief Report |