SynthesisThe Cochrane database of systematic reviews2013
Wound drains after incisional hernia repair.
Synthesis in The Cochrane database of systematic reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Evaluating the 7-day barrier: early laparoscopic cholecystectomy for cholecystitis with prolonged symptom duration; a systematic review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Quality measures in ventral hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2018Pooled it
- The use of adjuncts to reduce seroma in open incisional hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2018Pooled it
- Wound drainage for lower limb arterial surgery.The Cochrane database of systematic reviews · 2016Pooled it
- Prophylactic anastomotic drainage for colorectal surgery.The Cochrane database of systematic reviews · 2004Pooled 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
- Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh.Hernia : the journal of hernias and abdominal wall surgery · 2019Trial
- Long-term outcomes of percutaneous transhepatic gallbladder drainage without cholecystectomy: impact of comorbidity and potential role of stone removal.Surgical endoscopy · 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
- Do surgical drains reduce surgical site occurrence and infection after incisional hernia repair with sublay mesh? A non-randomised pilot study.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Efficacy and safety of laparoscopic common bile duct exploration with primary closure and intraoperative endoscopic nasobiliary drainage for choledocholithiasis combined with cholecystolithiasis.Surgical endoscopy · 2023Article
- Drain vs. no-drain for acetabular fractures after treatmentFrontiers in surgery · 2023Article
- Pancreaticobiliary Malignancies in the Emergency Room: Management of Acute Complications and Oncological Emergencies.Journal of gastrointestinal cancer · 2022Review
- Patient and surgeon factors contributing to bailout cholecystectomies: a single-institutional retrospective analysis.Surgical endoscopy · 2022Article
- Efficacy and safety of laparoscopic common bile duct exploration via choledochotomy with primary closure for the management of acute cholangitis caused by common bile duct stones.Surgical endoscopy · 2022Article
- Early laparoscopic cholecystectomy in oldest-old patients: a propensity score matched analysis of a nationwide registry.Updates in surgery · 2022Article
- The European Hernia Society Prehabilitation Project: A Systematic Review of Intra-Operative Prevention Strategies for Surgical Site Occurrences in Ventral Hernia Surgery.Frontiers in surgery · 2022Review
- Surgical "error traps" of open posterior component separation-transversus abdominis release.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Optimising the outcomes of index admission laparoscopic cholecystectomy and bile duct exploration for biliary emergencies: a service model.Surgical endoscopy · 2021Article
- Early drain removal does not increase the rate of surgical site infections following an open transversus abdominis release.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
Corrections and comments
- Update of
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIncisional hernias are caused by the failure of the wall of the abdomen to close after abdominal surgery, leaving a hole through which the viscera protrude. Incisional hernias are repaired by further surgery. Surgical drains are frequently inserted during hernia repair with the aim of facilitating fluid drainage and preventing complications. Traditional teaching has recommended the use of drains after incisional hernia repair other than for laparoscopic ventral hernia repair. More than 50% of open mesh repairs of ventral hernias have drains inserted. However, there is uncertainty as to whether drains are associated with benefits or harm to the patient.
objectivesTo determine the effects on wound infection and other outcomes, of inserting a wound drain during surgery to repair incisional hernias, and, if possible, to determine the comparative effects of different types of wound drain after incisional hernia repair. SEARCH
methodsIn November 2013, for this fourth update we searched the Cochrane Wounds Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), The Cochrane Library, Ovid MEDLINE, Ovid EMBASE, and EBSCO CINAHL. SELECTION CRITERIA: We considered all randomised trials performed in adult patients who underwent incisional hernia repair and that compared using a drain with no drain. We also considered trials that compared different types of drain. DATA COLLECTION AND ANALYSIS: We extracted data on the characteristics of the trial, methodological quality of the trials, outcomes (e.g. infection and other wound complications) from each trial. For each outcome, we calculated the risk ratio (RR) with 95% confidence intervals (CI) and based on intention-to-treat analysis. MAIN
resultsNo new trials were identified by the updated searches. Only one trial was eligible for inclusion in the review with a total of 24 patients randomised to an electrified drain (12 patients) compared with a corrugated drain (12 patients). There were no statistically significant differences between the groups for wound infection or in the length of stay in hospital. AUTHORS'
conclusionsThere is insufficient evidence to determine whether wound drains after incisional hernia repair are associated with better or worse outcomes than no drains.
Indexed as
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What OpenQuestion 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 OpenQuestion graph.