ArticleHernia : the journal of hernias and abdominal wall surgery2023
Retromuscular drain versus no drain in robotic retromuscular ventral hernia repair: a propensity score-matched analysis of the abdominal core health quality collaborative.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Do surgical drains reduce the postoperative surgical complications following incisional hernia repair? A systematic meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled 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
- Analysis of retromuscular drain output and postoperative outcomes for heavyweight versus mediumweight polypropylene mesh following open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- Robotic versus open mesh-enforced retrorectus ventral hernia repair: a multi-center comparative study.Journal of robotic surgery · 2026Article
- Robotic primary ventral hernia repair-a multi-national Delphi expert consensus.Journal of robotic surgery · 2025Article
- To drain or not to drain in minimal invasive ventral hernia surgery.Langenbeck's archives of surgery · 2025Article
- Association of changes in HerQLes scores with objective hernia outcomes: an analysis of the ACHQC database.Surgical endoscopy · 2024Article
- Drain versus no drain in elective open incisional hernia operations: a registry-based analysis with 39,523 patients.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Drain vs no drain placement after retromuscular ventral hernia repair with mesh: an ACHQC analysis.Surgical endoscopy · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDrains may be placed during robotic retromuscular ventral hernia repair (rVHR) to decrease wound morbidity, but their use is controversial. We aimed to assess the impact of retromuscular drain placement on wound morbidity after robotic rVHR.
methodsPatients with and without drains after robotic rVHR in the Abdominal Core Health Quality Collaborative (ACHQC) registry were compared using a propensity score-matched analysis. Outcomes included surgical site occurrences (SSO), surgical site infections (SSI), and surgical site occurrences requiring procedural interventions (SSOPI) at 30 days.
resultsPropensity score matching compared 580 patients with drains to 580 without drains. The groups were well matched with respect to hernia width (drain: 8.0 cm [IQR 6.0; 10.0] vs no drain: 8.0 cm [IQR 5.0; 10.0]; P = 0.399) and transversus abdominis release (drain: 409 (70.5%) vs no drain: 408 (70.3%); P = 0.949). At 30 days, patients with drains had fewer seromas than those without drains (22 (3.8%) vs 88 (15.2%); P < 0.0001). Rates of SSIs and SSOPIs were similar between the two groups at 30 days. Logistic regression analysis showed drain placement lowered the risk of an SSO compared to no drain placement (OR 0.32, CI 0.21-0.47; P < 0.0001). Hospital stay was longer for patients with drains than those without drains (2.0 days [IQR 1.0; 3.0] vs 1.0 day [IQR 1.0; 2.0], respectively; P < .0001).
conclusionDrain placement during robotic rVHR is associated with decreased postoperative seroma occurrence.
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