الفهرس 
Ventral abdominal wall herniaOnly 14 pages are availabe for public view
 |  | from | 148 |  |  |
| | | from | 148 | | |
Abstract
This prospective randomized study compared between suction and non-suction tube drains on the development of seroma after onlay ventral mesh hernioplasty. It included 100 adult patients with different types of ventral hernia randomly divided into two equal groups each included 50 patients. during the period from August 2018 till October 2019. In group A suction drain was used and in group B non-suction tube drain was used. All patients presented with ventral abdominal wall hernias aged ≥ 18 years and submitted to onlay mesh hernia repair are included in this study while patients submitted to other types of repair (without mesh or other than the onlay mesh repair), Complicated hernias, Contaminated surgical field and if the patient ˂ 18 years are excluded from this study. The mean age of our population was 45.615 years with 79% of them were females. The mean BMI was 33.76 kg/m2. The commonest risk factor reported in our study was multiparty in 78% of our patients followed by obesity in 67 % and smoking in 12 %. The main clinical presentation was abdominal swelling in all cases, followed by persistent abdominal pain and low backache. Sixty-two percent of hernias were PUHs followed by Incisional hernias in 27% and epigastric hernias in 11%. Routine US examination was done in all patients revealed gall bladder stones in 7 patients, 4 of them in group A and 3 in group B. While CT examination was performed for 6 cases (3 in each group) for the volumetric study of huge size hernia. Upper endoscopy was performed in 11 patients presented with compensated chronic liver disease, 4 of them in group A and 7 in group B.