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Related Experiment Video

Updated: May 25, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Why do we use drains in some inguinal hernia repairs?

Z Ergül1, M Akinci, K B Yilmaz

  • 1Ankara Diskapi Teaching and Research Hospital, Department of General Surgery, Ankara, Turkey.

Chirurgia (Bucharest, Romania : 1990)
|February 8, 2012
PubMed
Summary

Surgeons use drains in groin hernia repair for older patients, those with recurrent hernias, or on anticoagulants. Drain use in selected cases doesn't increase infection but may prolong hospital stays.

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Last Updated: May 25, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Area of Science:

  • Surgery
  • Hernia Repair
  • Surgical Outcomes

Background:

  • Surgeons lack consensus on drain use in groin hernia repair.
  • Investigating factors associated with drain usage is crucial for optimizing patient care.

Purpose of the Study:

  • To compare clinical characteristics of patients with and without drains in groin hernia repair.
  • To identify predictors of drain usage in inguinal and femoral hernia surgeries.

Main Methods:

  • Prospective data collection of groin hernia repairs from 2006-2010.
  • Comparison of patient demographics, hernia type, ASA class, complications, operation duration, and hospitalization between drain and no-drain groups.
  • Statistical analysis to identify independent predictors of drain use.

Main Results:

  • Drains were used in 8.3% of 795 open mesh inguinal hernia repairs.
  • Patients with drains were older, had more comorbidities (cardiovascular disease, higher ASA class), recurrent hernias, and complicated presentations (incarceration, strangulation).
  • Anticoagulant use, operation duration, recurrent hernias, and ASA class were significant predictors of drain use in inguinal hernias.

Conclusions:

  • Drain usage in groin hernia repair is associated with specific patient factors like anticoagulant use, recurrent hernias, and higher ASA class.
  • Selected drain use appears safe regarding infection risk.
  • Drain use is linked to longer hospital stays, highlighting the need for careful indication.