A Rare Complication Years After Abdominal Surgery: Incarcerated Drain-site Hernia

Incarcerated Drain-site Hernia

Abstract

Drain-site hernia is an exceptionally rare complication, primarily occurring shortly after the removal of drains. Comorbid conditions that hinder wound healing, along with factors contributing to increased intra-abdominal pressure, are identified as risk factors. Notably, the use of drains with a diameter larger than 10 mm has been specifically linked to this complication. In this report, we present a case of drain-site hernia that developed 40 years after intra-abdominal surgery, and progressed with small bowel incarceration. The main objective is to question the routine utilization of drains and explore critical factors influencing drain selection, given that this case highlights an extremely rare and delayed complication associated with drain use. A selective approach is more appropriate than the routine use of drains after intra-abdominal surgery.