Suction drainage. A study in wound healing

Maitland, A. Ian L.; Mathieson, Alister J. M.

doi:10.1002/bjs.1800570310

Cited by 27 publications

(4 citation statements)

References 7 publications

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“…Furthermore, leaving pelvic drains in situ for some days was reported to impair the reparative and absorptive capacities of peritoneum, contributing to the problem that its use was intended to prevent. 14,25 Consequently, some intend to leave the peritoneum open 23 or to use an omental J-flap 26 to avoid pelvic collections. The former concept was recently reported to reduce the rate of post-RP-LC.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for pelvic lymphoceles post‐radical prostatectomy

et al. 2011

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Background: Lymphoceles (LC) represent a well-described rare complication post-radical prostatectomy (RP). Our aim was to determine risk factors and to develop possible prevention strategies for LC in a community-based study. Methods: Data from 1163 RP-patients from 67 clinics between January 2002 and December 2004 were retrospectively evaluated. Patients underwent pelvic imaging procedures/LC-management during 3 weeks of rehabilitation post-RP. Results: LC were identified in 304 patients (26%). Lymphadenectomy was carried out in 92% of patients (1001/1086 patients), from which 28% had LC (n = 277) versus 14% without lymphadenectomy (12/85, P = 0.007). Complications (lower limb edema, pain, thrombosis, infection and bladder compression) were observed in 9% of patients (28/304; 2.4% of total patients); necessitating therapy. LC therapy was carried out in 59 patients (5.9%) with pelvic lymph node dissection (PLND) and in no patients (0%) without PLND (P = 0.021). Risk factors included were patients' age, body mass index, prostate volume, TNM-classification, number of removed lymph nodes, previous surgery/therapy, heparin prophylaxis, surgical instruments and pelvic lymphadenectomy. Univariate analysis showed lymphadenectomy as the only significant risk factor for the development of LC post-RP (P = 0.007). When applying multivariate analyses using stepwise logistic regression, only lymphadenectomy was associated with a significant risk for lymphoceles (odds ratio = 2.6, 95% CI = 1.3-4.9, P = 0.004). Adjusting for other factors, no other factor came close to being significant (P < 0.05). All symptomatic LC were successfully treated without further sequelae. Conclusions: Subclinical LC post-RP are more common than thought, and rarely necessitate intervention. Pelvic lymphadenectomy represents the only significant factor contributing to LC-development. Because of this, prevention remains difficult.

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Section: Discussionmentioning

confidence: 99%

Risk factors for pelvic lymphoceles post‐radical prostatectomy

et al. 2011

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“…However, if the drain is left in sitri for a number of days the surgeon must have absolute faith in the indicator system. The reliability of the Pedivac in surgical practice and its simple application has been commented on (Maitland and Mathieson, 1970).…”

Section: Discussionmentioning

confidence: 99%

The physical and bacteriological properties of disposable and non-disposable suction drainage units in the laboratory

Lumley

Britton

Chattopadhyay

1974

Journal of British Surgery

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SUMMARYThe physical arid bacteriological properties of disposable and non-disposable suction units have been studied in the laboratory. The disposable units which operate at a lower suction pressure were found to be subject to spontaneous loss of vacuum, while positional change of the containers of the magnitude encountered in clinical practice could easily produce reversal of flow from the container. The incidence of contamination in the systems in a laboratory model designed to simulate the ward situation was higher in the disposable units.

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“…Drains are routinely used during closure in total knee arthroplasty (TKA) due to the traditional belief that it will prevent wound hematoma, facilitate wound healing and minimize chances of infection12). However, the use of drains during TKA is associated with excessive blood loss, the need for postoperative allogenic blood transfusion and increased complications3456).…”

Section: Introductionmentioning

confidence: 99%

Effect of Closed Suction Drain on Blood Loss and Transfusion Rates in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective Randomized Study

Jhurani

Shetty

Gupta

et al. 2016

Knee Surg Relat Res

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PurposeSimultaneous bilateral total knee arthroplasty (TKA) is associated with excessive blood loss and morbidity arising from postoperative reduction in hemoglobin (Hb). The purpose of this prospective randomized study was to determine if drains have any effect on blood loss, postoperative reduction in Hb levels and transfusion rates compared to no drainage in simultaneous bilateral TKAs.Materials and MethodsTwo hundred and thirty patients who underwent simultaneous bilateral TKA by a single surgeon were randomly allotted to drain or no-drain group (n=115 in each group). Postoperative Hb level, blood loss volume and transfusion rate were compared between the two groups.ResultsThe mean postoperative Hb level (p=0.38), blood loss volume (p=0.33) and transfusion rate (p=0.52) in the drain group were not significantly different compared to the no-drain group. No statistical difference was found in terms of complications, readmissions and mortality rates between the two groups.ConclusionsNo significant difference was observed in the two groups with respect to blood loss and blood transfusion. Non-drainage does not offer an advantage over drainage with respect to conserving blood in simultaneous bilateral TKA.

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Suction drainage. A study in wound healing

Cited by 27 publications

References 7 publications

Risk factors for pelvic lymphoceles post‐radical prostatectomy

Risk factors for pelvic lymphoceles post‐radical prostatectomy

The physical and bacteriological properties of disposable and non-disposable suction drainage units in the laboratory

Effect of Closed Suction Drain on Blood Loss and Transfusion Rates in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective Randomized Study

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