Evidence map›Paper›PMID 35165760›Full record

ArticleSurgical endoscopy2022

Are drains useful in eTEP ventral hernia repairs? An AWR surgical collaborative (AWRSC) retrospective study.

Eham Arora, Ankit Mishra, Rahul Mhaskar, Rahul Mahadar, Jignesh Gandhi, Sharad Sharma, Ramakrishnan Parthasarathi, P Praveen Raj, Chinnusamy Palanivelu, B Ramana

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Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Eham AroraDepartment of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, 6th Floor, Main Hospital Building, Sir JJ Hospital Campus, Byculla, Mumbai, 400008, India. ehamarora@gmail.com.ORCID http://orcid.org/0000-0002-5120-3356
Ankit MishraBelle Vue Clinic, Kolkata, India.
Rahul MhaskarDepartment of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Rahul MahadarJeevanshree Hospital, Thane, India.
Jignesh GandhiFortis Hiranandani Hospital, Navi Mumbai, India.
Sharad SharmaFortis Hiranandani Hospital, Navi Mumbai, India.
Ramakrishnan ParthasarathiGEM Hospital & Research Center, Coimbatore, India.
P Praveen RajGEM Hospital & Research Center, Coimbatore, India.
Chinnusamy PalaniveluGEM Hospital & Research Center, Coimbatore, India.
B RamanaBelle Vue Clinic, Kolkata, India.
Gastroenterology Medical Center and Hospital · INFortis Hospital · INGrant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals · INUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrain practices in minimally invasive retromuscular ventral hernia repairs have largely been transferred over from open surgery without significant review. We wished to evaluate the role of drains in these repairs.

methodsUsing the Abdominal Wall Reconstruction Surgical Collaborative (AWRSC) registry, patients with ventral hernias who underwent enhanced-view totally extraperitoneal (eTEP) repairs between February 2016 and September 2019 were evaluated. Patients with contamination or active infection within the surgical field, those who underwent an emergent or hybrid repair, or received a concomitant procedure were excluded. Propensity score matching based on the defect size, previous hernia repair status, and the use of posterior component separation (PCS) was used to match patients with drains to patients without drains. We evaluated 180-day outcomes in terms of SSIs, SSOs, and recurrence.

results308 patients met the inclusion criteria. After propensity score matching, 48 patients with drains and 72 without drains were included in the analysis cohort. Those with drains were older with a greater likelihood of an incisional hernia, but were broadly similar for other relevant demographic and hernia-related variables. While there was no difference in the incidence of SSOs and SSIs between the two groups, we report a higher risk of SSOs needing procedural intervention (SSOPI) and recurrence, with a lengthened hospital stay in the cohort that received surgical drains.

conclusionThe use of surgical drains in "clean" eTEP repairs of ventral hernias appears to be common, with a selection bias for more complex cases. Based on our analysis, we found the use of drains was associated with longer hospital stays. The use of drains did not change the likelihood of suffering an SSI or SSO. However, the incidence of SSOPIs was higher despite the use of drains, which raises questions about their protective role in these repairs.

Indexed as

Hernia, VentralIncisional HerniaAbdominal MusclesHerniorrhaphyHumansRetrospective StudiesSurgical MeshDrainseTEPRetromuscular repairTransversus abdominis releaseVentral hernia

Identifiers

PMID35165760
OpenAlexW4213291089

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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.