DRAIN SITE HERNIAS - A RARE BUT RECOGNIZED COMPLICATION OF SURGICAL DRAINAGE. A STUDY OF THEIR RISK FACTORS, MANAGEMENT AND PREVENTION
Abstract
Herniation through drain site is a rare but
recognized complication of surgical
drainage. Once detected they should be
managed aggressively since incidence of
obstruction is higher. We herein present
two cases of drain site hernia which we
encountered in our unit between Aug
2009 to Aug 2011 . We reviewed the
case reports of these patients and analyzed
them retrospectively. The risk factors
for the development of drain site hernias
in these patients were identified.
The modalities to prevent these risk factors
and to make drain site hernia as an
avoidable complication were formulated.
We identified the main predisposing factors
for drain site hernia as sepsis, faulty
technique in placement and management
of drains. Management varied
based on their site, nature, duration of
presentation. One case presented as
emergency which we managed by open
technique, while the
second case was repaired electively using
laparoscopic technique.
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