Frequency of Serous Fluid Output via Drain after Mesh Repair of Para-Umbilical Hernia with or without Dead Space Obliteration

Dead Space Obliteration in the Repair of Para-Umbilical Hernia

Abstract

Background: Seroma development is still a substantial issue following mesh Hernioplasty, and the reason for this is multifaceted. Multiple methods have been tried to combat this problem. Objective: To compare the volume of serous fluid output via drain after mesh repair of a Para-umbilical hernia with or without dead space obliteration. Study Design: Randomized controlled trial. Settings: Department of Surgery, Allied Hospital, Faisalabad Pakistan. Duration: from14th March 2020 to 13th March 2021. Methods: 194 patients with para-umbilical hernia of size between 4-10cm and of any duration, 25 to 65 years of age of either gender were included. Patients with previous repair of para umbilical hernia, pregnant females, and hematoma formation were excluded. A quilting suturing technique was used in group A patients, while in group B patients, a simple closure technique was used. Drain output was noted on the 5th day of surgery. Results: Mean age of patients in group A was 49.89 ± 10.03 years, and in group B was 47.08 ± 10.56 years. Out of these 194 patients, 49 were female, and 145 were male. Serous fluid output >50 ml was seen in 8 (8.25%) patients in group A (quilting suturing technique) and 18 (18.56%) patients in group B (without quilting suturing) with a p-value of 0.035. Conclusion: This study concluded that volume of serous fluid formation is less as measured by drain output after dead space obliterations compared to simple closure technique in para umbilical hernia repair.