Drains, Pain Pumps, and Abdominal Binders

  • Chris EdwardsEmail author


Drains, abdominal binders, and pain pumps for laparoscopic hernia repair have little written about them. A review of the current literature is included in this writing as well as the author’s opinion in the use of these adjunctive measures. Drains should be used sparingly in hernia repair except in open or laparoscopic components’ release. Binders may have a role in reducing pain after laparoscopic hernia treatment but demonstrate no evidence in reducing recurrence. Pain pumps are a much larger topic, but the use of regional anesthesia may be the best choice for pain control in laparoscopic hernia repair.


Laparoscopic hernia surgery Hernia surgery Drains in hernia surgery Abdominal binders in hernia surgery Pain pumps in hernia surgery 


  1. 1.
    Sains PS, et al. Outcomes following laparoscopic versus open repair of incisional hernia. World J Surg. 2006;30(11):2056–64.PubMedCrossRefGoogle Scholar
  2. 2.
    Sauerland S, et al. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011;3:CD007781.PubMedGoogle Scholar
  3. 3.
    Kaafarani HMA, et al. Predictors of surgical site infection in laparoscopic and open ventral incisional herniorrhaphy. J Surg Res. 2010;163(2):229–34.PubMedCrossRefGoogle Scholar
  4. 4.
    Gurusamy KS (2007) Wound drains after incisional hernia repair. Cochrane Database Syst Rev. 2007; (1):CD005570.Google Scholar
  5. 5.
    Ismail M, et al. Impact of closed-suction drain in preperitoneal space on the incidence of seroma formation after laparoscopic total extraperitoneal inguinal hernia repair. Surg Laparosc Endosc Percutan Tech. 2009;19(3):263–6.PubMedCrossRefGoogle Scholar
  6. 6.
    LeBlanc KA. Laparoscopic incisional and ventral hernia repair: complications—how to avoid and handle. Hernia. 2004;8(4):323–31.PubMedCrossRefGoogle Scholar
  7. 7.
    Cheifetz O, et al. The effect of abdominal support on functional outcomes inpatients following major abdominal surgery: a randomized controlled trial. Physiother Can. 2010;62(3):242–53.PubMedCrossRefGoogle Scholar
  8. 8.
    Larson CM, et al. The effect of abdominal binders on postoperative pulmonary function. Am Surg. 2009;75(2):169–71.PubMedGoogle Scholar
  9. 9.
    Stewart A, et al. Randomized trial of a pain control infusion pump following inguinal hernia repair. ANZ J Surg. 2004;4(10):873–6.CrossRefGoogle Scholar
  10. 10.
    Sanchez B, et al. Local anesthetic infusion pumps improve postoperative pain after inguinal hernia repair: a randomized trial. Am Surg. 2004;70(11):1002–6.PubMedGoogle Scholar
  11. 11.
    Rosen MJ, et al. Prospective randomized double-blind placebo-controlled trial of postoperative elastomeric pain pump devices used after laparoscopic ventral hernia repair. Surg Endosc. 2009;23(12):2637–43.CrossRefGoogle Scholar
  12. 12.
    Heil JW, et al. Ultrasound-guided transversus abdominis plane catheters and ambulatory perineural infusions for outpatient hernia repair. Reg Anesth Pain Med. 2010;35(6):556–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Ahmed M, et al. A simple technique of regional anesthesia to reduce opioid requirements postoperatively in laparoscopic incisional hernia repairs. Surg Laparosc Endosc Percutan Tech. 2011;21(2):e70–1.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Mission BariatricsMission HospitalsAshevilleUSA

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