The effect of subcutaneous drain use on the healing process and development of recurrences in open repair of incisional hernias

Aim: Incisional hernias are a common complication following abdominal surgical procedures. This retrospective study aimed to evaluate the role of perioperative drains in the healing process following incisional hernia repair using mesh. Materials and Methods: A total of 117 patients who underwent elective hernia repair surgery were analyzed. Patients were divided into two groups based on whether a subcutaneous drain was inserted perioperatively. Various clinical outcomes were assessed. Results: Drains were used in 64.1%, with seroma and surgical site infections observed in 6% each and a recurrence rate of 11.9%. Defect size significantly increased drain use, while BMI prolonged hospital stay by 7% per unit. Recurrence, seroma, and surgical site infections were not significantly affected by other factors. Conclusion: The results of the study suggest that routine use of drains in incisional hernia repair may not be necessary and that their benefits remain uncertain.