Trial reportWorld journal of surgery2023
Drain Versus No Drain in Open Mesh Repair for Incisional Hernia, Results of a Prospective Randomized Controlled Trial.
Trial report in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00478348 (Adequacy of Drainage During Prosthetic Repair of Incisional Abdominal Hernias), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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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.
Adequacy of Drainage During Prosthetic Repair of Incisional Abdominal Hernias: a Randomized Controlled Trial.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Comparing Laparoscopic Versus Open Repair of Recurrent Incisional Hernia: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Studies on Recurrence and Complications.World journal of surgery · 2026Pooled it
- 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
- Should routine surgical wound drainage after ventral hernia repair be avoided? A systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- A randomized controlled trial of the outcomes of Arista™ hemostatic agent in robotic ventral hernia repair.Journal of robotic surgery · 2025Trial
- 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
- Robotic versus open mesh-enforced retrorectus ventral hernia repair: a multi-center comparative study.Journal of robotic surgery · 2026Article
- Review
- A scoping review of outcome reporting in randomized controlled trials of incisional and non-incisional ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Incisional hernia prevention in high-risk midline laparotomy using onlay PVDF mesh: multicenter prospective observational study.Journal of abdominal wall surgery : JAWS · 2026Article
- Validation and reliability of the Turkish version of the surgical site infection assessment scale: a methodological study.BMC surgery · 2025Article
- 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
- To drain or not to drain in minimal invasive ventral hernia surgery.Langenbeck's archives of surgery · 2025Article
- Review
- A comparison between robotic-assisted and open approaches for large ventral hernia repair-a multicenter analysis of 30 days outcomes using the ACHQC database.Surgical endoscopy · 2024Article
- Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee.Hernia : the journal of hernias and abdominal wall surgery · 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
- Are Surgeons Going to Be Left Holding the Bag? Incisional Hernia Repair and Intra-Peritoneal Non-Absorbable Mesh Implant Complications.Journal of clinical medicine · 2024Review
- 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
- Author's Reply: Drain Versus No Drain in Open Mesh Repair for Incisional Hernia, Results of a Prospective Randomized Controlled Trial.World journal of surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen mesh repair of incisional hernia is associated with different local complications, particularly bleeding and seroma formation. Traditionally, drains have been placed perioperatively to prevent these complications, despite the lack of scientific evidence or expert consensus. We formulated the hypothesis that the absence of drainage would reduce number of patients presenting collections or complications. The present study aimed to compare postoperative complication rates after open mesh repair for incisional hernia with or without prophylactic wound drainage.
methodsProspective randomized study using standardized surgical technique and drain placement. The primary endpoint was the evaluation of residual fluid collection with ultrasound on postoperative day 30. Other complications, subdivided into medical and surgical, were analyzed as secondary endpoints.
resultsThere were 144 patients randomized (70 with drain, 74 without drain). No difference was identified between both groups for fluid collection at 30 days (60.3% vs. 62%, p = 0.844). However, less surgical complications were identified in the drain group (21.7% vs. 42.7%, p = 0.007), with a lower wound dehiscence rate (1.5% vs. 9.3%, p = 0.041).
conclusionsProphylactic drainage in open incisional hernia repair does not objectively reduce the rate of postoperative fluid collections. Therefore, our results do not support the use of routine drainage in incisional hernia repair.
trial registrationTrial registration on clinicaltrials.gov (NCT00478348).
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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.