Abstract

Does Drain in Open Mesh Hernioplasty Changes Outcome?

Background and Aims: In this study, we aimed to observe the postoperative outcomes of open hernia repair compared with and without drain during admission, at discharge, and after 3 months. Material and Methods: We retrospectively analyzed the outcomes of inguinal hernias repairs with suction drains, compared to the inguinal hernia repairs without drains from August 2016 till December 2019. Postoperative outcomes (Induration, tenderness, and discomfort) amount of drain, the character of drain any recurrence of open hernia repair compared with and without drain during admission, at discharge, and after 3 months. Results: During the above-mentioned period, 150 with drain and 150 without a drain were observed. In the group with drain, 38.67% had direct inguinal hernias, 38% had indirect inguinal hernias and 22.67% had both types of inguinal hernias. The average drain observed on day-1 was 37.43 ml and 9.75 ml on day-3. In the group without drain, the direct inguinal hernia was observed in 46.66%, indirect in 44% and both types of inguinal hernias were observed in 9.33%. There was no recurrence in either group. All patients were followed for 3 months. Length of stay compared was insignificant with 3.37 days with drain while 4.86 days without a drain (p<0.05). Conclusions: Placing drains in open mesh repair routinely does not significantly alter outcomes including pain, tenderness, or discomfort but patients with drain had a feeling of well-being at discharge and after 3 months which couldn’t be quantifiedy.

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