Drain Versus No-Drain in Patients After Surgery for Early Stage Gynecologic Malignancies: A Randomized Controlled Study

Niak, Ragavendra; Gajjala, Sivanath Reddy; Banoth, Manilal; Hulikal, Narendra

doi:10.1089/gyn.2022.0002

Journal of Gynecologic Surgery

2022

DOI: 10.1089/gyn.2022.0002

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Drain Versus No-Drain in Patients After Surgery for Early Stage Gynecologic Malignancies: A Randomized Controlled Study

Ragavendra Niak

Sivanath Reddy Gajjala

Manilal Banoth

et al.

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2024

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Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients

Pfail,

Drobner,

Kaldany

et al. 2024

World J Urol

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Purpose Placement of a drain during robotic assisted partial nephrectomy (RAPN) and robotic assisted radical prostatectomy (RARP) is standard practice for many urologists and can aid in assessment and management of complications such as urine leak, lymphocele, or bleeding. However, drain placement can cause discomfort and delay patient discharge, with questionable benefit. We aim to assess the correlation between drain placement with post operative complications. Methods The NSQIP targeted database was queried for patients who underwent RAPN or RARP from 2019 to 2021. Our primary outcomes included 30-day complication rates stratified by intraoperative drain placement. Secondary outcomes included procedure-specific complications, length of stay (LOS), and readmissions. Multivariable regression analyses, with Bonferroni correction, were performed for each post-operative complication. Results We identified 4738 and 13,948 patients who underwent RAPN and RARP, respectively. Drains were not placed in 2258 (47.7%) and 6700 (48%) patients, respectively. On adjusted multivariable analysis in the RAPN cohort, omission of drain placement was associated with decreased LOS (β -0.45; 99.58% CI [-0.59, -0.32]) but no difference in overall complication rates. After adjusted analysis in the RARP cohort, omission of drain placement was associated with decreased risk of any complication (OR 0.73 [0.62–0.87]), infectious complication (OR 0.66 [0.49–0.89]), and LOS (β -0.30 [-0.37, -0.24]). Conclusions Using a large contemporary database, this study demonstrates that omission of drains during RAPN and RARP was safe without increased risk of postoperative complications. Despite inherent selection bias in this cohort, our data suggests that routine drain placement is not necessary for these procedures.

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Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients

Pfail,

Drobner,

Kaldany

et al. 2024

World J Urol

View full text Add to dashboard Cite

show abstract

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Drain Versus No-Drain in Patients After Surgery for Early Stage Gynecologic Malignancies: A Randomized Controlled Study

Cited by 1 publication

References 14 publications

Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients

Omission of intraoperative drain placement during robotic partial nephrectomy and robotic radical prostatectomy is safe: an analysis of 18,000 patients

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