MAZEDAN DIGITAL LIBRARY

#	Authors	First Online	DOI	Downloads	Citations
1.	Muhammad Nadeem Umar, Shazia Shahzadi, Tausif Ahmed Rajput	30 Jun 2021	na	36	0

Abstract

Objective: To study the positive or negative impact of Siphon drainage as compared to Suction drainage with regards to formation of post-operative seroma or Surgical Site Infection, in cases with relatively large dead space in surgical wounds after divarication of recti repair with On-lay mesh, followed by Abdominoplasty. A prospective randomized clinical study carried out at Riphah International University Hospital, Islamabad from March 2020 to September 2021. Method: Total of 38 patients with large ventral Divarication of Recti were treated with “On-lay Mesh Repair” and Abdominoplasty with excision of excess skin. These patients were divided into two groups randomly. Patients in the first group received simple tube drain connected to a closed system drainage bag without any suction device, for simple Siphon drainage of their wound. The second group received Vacuderm suction drain connected to a closed-suction vacuum containing plastic bottle for active suction drainage of the wound. In both groups similar closure technique of the wounds was followed which included closure of Divarication of recti defect with polypropylene, On-lay Mesh, quilting, scarpa’s fascia apposition with interrupted polyglactin 910 sutures and subcuticular polypropylene 2/0 sutures for skin. Both groups were followed up in the post-operative period with clinical and soft-tissue ultrasound assessment to study the development of any seroma or any Surgical Site Infection, at three pre-determined time intervals. Results: The patients were followed up at early, intermediate and late stages with clinical and ultra-sonographic examination for seroma formation or SSI. Clinically detectable and Ultrasound proven seroma formation which required needle aspiration was respectively 10.53%% in Group 1 and 10.53% in Group 2, without a significant difference between the two groups (p>0.999). Ultrasonic evidence of seroma formation which did not require drainage was respectively 15.79%, 26.31%, 31.57% in Group 1 (Siphon Drain), and 21.05%, 21.05%, 26.31% in Group 2, and was not significantly different between the two groups (p 0.469; 0.631; 0.619). Surgical Site Infection was seen in 5.26% cases in Group 1 and 5.26% in Group 2, with insignificant difference between the two groups (p>0.999). Conclusions: The incidence of seroma formation requiring aspiration, seroma formation not requiring aspiration and Surgical Site infections did not show any significant difference between the two groups, each of which was subjected to On-lay mesh repair and provided simple siphon drainage or suction drainage after a ventral divarication of recti repair with excision of excess skin/ Abdominoplasty.

Siphon Drains Versus Suction Drains, In On-Lay Mesh Repair of Large Ventral Divarication of Recti with Abdominoplasty

Abstract

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