{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T16:38:19Z","timestamp":1756571899071,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T00:00:00Z","timestamp":1586304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"General Surgeons Australia (GSA), Junior Doctors Research Grant"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A recent legal case described in the ANZ Journal of Surgery has sparked significant topical interest in drain tube use in incisional hernia repairs in Australia. This study reviews a single centre experience of drain tube use in incisional hernia repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from online clinical records was collected retrospectively from patients that underwent incisional hernia repair from 1 January 2013 to 31 December 2017. \u2018Complexity\u2019 factors of smoking, obesity and lower midline incision (as identified by the legal case) were also used to stratify groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 410 incisional hernia repair cases were identified during the 5\u2010year period. Median length of stay of the non\u2010drain placement group was significantly shorter than that of the drain placement group (2 versus 6\u2009days, <jats:italic>P<\/jats:italic> &lt;\u20090.001). In total, 10.8% of patients with drain suffered from post\u2010op wound infection compared to 3.6% in patients without a drain tube <jats:italic>in\u2010situ<\/jats:italic> (<jats:italic>P<\/jats:italic> =\u20090.005). Seroma rates were no different with or without a drain (15.7% versus 16.9% <jats:italic>P<\/jats:italic> =\u20090.78). When stratified by \u2018complexity\u2019, there was a trend towards increased complications when drains were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Drain tubes were placed in only a small proportion of patients during incisional hernia repairs and were associated with a higher post\u2010operative wound infection rate. When stratified by the \u2018complexity\u2019 factors outlined by the recent legal case, complications in more \u2018complex\u2019 patients may actually increase when a drain tube is used.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15875","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T13:55:55Z","timestamp":1586354155000},"page":"1080-1085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Do drain tubes help reduce risks of post\u2010operative complications in complex incisional hernia repair (as defined by a recent court ruling)?"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9269-9001","authenticated-orcid":false,"given":"Yuchen","family":"Luo","sequence":"first","affiliation":[{"name":"Division of Surgery Northern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durr\u2010e\u2010Nayab","family":"Masood","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Mohammed Jinnaah","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Tacey","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Melbourne Victoria Australia"},{"name":"Department of Medicine, Dentistry and Health Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4772-516X","authenticated-orcid":false,"given":"Russell","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Melbourne Victoria Australia"},{"name":"Department of Surgery University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20174199"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-7929-3"},{"key":"e_1_2_7_4_1","first-page":"10","article-title":"Survey on ventral hernias: surgeon indications, contraindications, and management of large ventral hernias","volume":"78","author":"Evans KK","year":"2012","journal-title":"Am. 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