Routine Abdominal Drains After Laparoscopic Roux-en-Y Gastric Bypass: A Retrospective Review of 593 Patients

Abstract

The routine use of abdominal drains after LRYGBP appears to be beneficial. Drains allowed early diagnosis of complications and in most cases, the successful treatment of leaks. When bleeding is suspected or documented, appropriate volume replacement therapy is mandatory to maintain adequate hemodynamic parameters. Drain output may orient the surgeon to take preventive measures such as discontinuing anticoagulation and early fluid resuscitation. In this series, in most cases the bleeding spontaneously stopped and no further surgical management was required.

Back to basics – clinical diagnosis in bariatric surgery. Routine drains and upper GI series are unnecessary

“…Key words: UGI series -Drains -Anastomotic leak -Gastric bypass -Bariatric surgery The use of abdominal drains and upper GI (UGI) series are often cited as routine in the care of the perioperative management of the bariatric surgery patient [1].…”

Reducing Surgical Site Infection by Placing Subcutaneous Drain in the Obese Patients

“…Anastomotic leaks, although rare, are one of the most common major postoperative complications of bariatric operations [1]. Many surgeons have reported the rate of anastomotic leaks of less than 1% [7] while some reported higher rates [6,15,16].…”

“…Chousleb, et al [1] in his study aimed to assess if the drain placement provides additional therapeutic advantages in the management of patients with leaks after gastric bypass bariatric surgery. He concluded that the use of drain may provide added safety in the postoperative care of these patients and help deal with its complications [1].…”

“…He concluded that the use of drain may provide added safety in the postoperative care of these patients and help deal with its complications [1].…”

“…It is treatment of choice for severely obese people [1][2][3]. Any surgical procedure has the risk of infection [4].…”