The biology and practice of surgical drains part II

Dougherty, Steve H.; Simmons, Richard L.

doi:10.1016/0011-3840(92)90028-2

Cited by 45 publications

(42 citation statements)

References 430 publications

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“…In the present study, both bile leaks occurred after LC with drainage, suggesting that drains may be also useless after LC for ACC in selected patients. In cases of excessive intraoperative blood loss, drains are not a substitute for adequate hemostasis and do not facilitate detection of hemorrhage unless bleeding is immediate and brisk [17]. Moreover, severe bleeding may be rapidly diagnosed because of postoperative hypotension, acute blood loss anemia, and intra-abdominal hypertension.…”

Section: Discussionmentioning

confidence: 99%

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

Lucarelli

Picchio²,

Martellucci

et al. 2012

Indian J Surg

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Drainage after laparoscopic cholecystectomy (LC) for acute calculous cholecystitis (ACC) is used without evidence of its efficacy. The present pilot study was designed to address this issue. After laparoscopic gallbladder removal, 15 patients were randomized to have a drain positioned in the subhepatic space (group A) and 15 patients to have a sham drain (group B). The primary outcome measure was the presence of subhepatic fluid collection at abdominal ultrasonography, performed 24 h after surgery. Secondary outcome measures included postoperative abdominal and shoulder tip pain, use of analgesics, and morbidity. Abdominal ultrasonography did not show any subhepatic fluid collection in eight patients (53.3 %) in group A and in five patients (33.3 %) in group B (P00.462). If present, median (range) subhepatic collection was 50 mL (20-100 mL) in group A and 80 mL (30-120 mL) in group B (P00.573). No significant differences in the severity of abdominal and shoulder pain and use of parenteral ketorolac were found in either group. Two biliary leaks and one subhepatic fluid collection occurred postoperatively. The present study was unable to prove that the drain was useful in LC for ACC, performed in a selected group of patients.

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Section: Discussionmentioning

confidence: 99%

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

Lucarelli

Picchio²,

Martellucci

et al. 2012

Indian J Surg

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“…No correlation between operation device and SSI was observed in this study. Node dissection has been known to be a risk factor of SSI in thyroid operation (17,20). In this study, however, CCND was performed in all cases and additional LND was performed in 53 cases (9%) and 159 cases (12.2%) in groups without and with perioperative antibiotic prophylaxis, respectively, showing no statistical significance associated between SSI and node dissection in groups with and without perioperative antibiotic prophylaxis.…”

Section: Discussionmentioning

confidence: 60%

Perioperative Antibiotic Prophylaxis May Not Be Required Routinely in Thyroid Surgery

Lee

Kim

et al. 2017

J Endocr Surg

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Purpose: Although perioperative antibiotic prophylaxis is used to prevent surgical site infection (SSI), thyroid surgery is classified as a clean surgical procedure and routine use of perioperative antibiotic prophylaxis is not recommend. The purpose of this study is to evaluate the therapeutic benefits of using perioperative antibiotic prophylaxis in thyroid surgery. Methods: We evaluated medical records of 1,895 patients who underwent thyroid surgery between January 2013 and December 2013. We divided 2 groups with or without perioperative antibiotic prophylaxis. Clinical factors including sex, age, body mass index (BMI), and comorbidity and surgical factors for SSI were analyzed. Results: The male to female ratio was 1:3.3, the average age was 43 (14-82) years old. The numbers of groups without and with antibiotic prophylaxis were 593 and 1,303. Thirty-seven cases (2.0%) of postoperative complications were observed including chyle leakage, SSI, and nerve injury. The SSI was occurred in 10 patients (0.5%). Clinical factors with SSI were analyzed and there was no statistical significance between 2 groups. Conclusion: In thyroid surgery, perioperative antibiotic prophylaxis may not be required routinely once the surgical procedure underwent with aseptic condition and the patients care was performed appropriately.

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“…[19] Patients do come late at the tertiary centre that leads to massive contamination of peritoneal cavity leading to thick pus adhesions and flakes in the abdominal cavity. [18] So, thick pus, flakes are not drained effectively by tube drains as they tend to cause blockage of tube drain or pores present in the tube drain. [18] Hence this study was done to find out whether the corrugated drain with wide opening in peritoneal cavity will be able to draw out all the post-operative collection due to inflamed serosa oozing out fluid.…”

Section: Discussionmentioning

confidence: 99%

Drainage of Abdomen in Peritonitis Due to Gastrointestinal Perforations, Comparison between Tube drain and Corrugated Drain

Kumar¹,

Sharma²

2017

AIMDR

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Background: We do exploratory Laprotomy for peritonitis due to gastrointestinal perforations. Usually patients come late at tertiary centres, we do peritoneal lavage, and put tube drains in one or both flanks, which has a tendency to get blocked leading to collections in different intra-abdominal spaces. Methods: In this study, we compared the relative safety and effect of putting the corrugated drain instead of tube drain so that it does not get blocked. Corrugated drains were put in both the flanks and right sub-hepatic space to ensure free drainage from peritoneal cavity. Study was done on 50 patients (tube drains were put on 25 patients and corrugated drains were put on the other 25). Students chi-square test was done for qualitative differences and t-test was done to assess the quantitative differences. The p<0.05 was considered statistically insignificant. Results: Drainage of abdominal cavity/spaces is found to be better by corrugated drain, when compared with tube drain. Complications, collection of pus, tube blockage due to flakes or exudates were more common in tube drainage. However with corrugated drain frequent change of dressing was needed. The hospital stay expenditure and intervention for removal of collection was more in tube drainage. Conclusion: Drainage of abdominal cavity by corrugated drains is a safe and an effective method in laparotomy done for peritonitis due to gastrointestinal perforations and should be favoured in comparison to tube drains.

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The biology and practice of surgical drains part II

Cited by 45 publications

References 430 publications

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

Drain After Laparoscopic Cholecystectomy for Acute Calculous Cholecystitis. A Pilot Randomized Study

Perioperative Antibiotic Prophylaxis May Not Be Required Routinely in Thyroid Surgery

Drainage of Abdomen in Peritonitis Due to Gastrointestinal Perforations, Comparison between Tube drain and Corrugated Drain

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