Use of closed suction devices and other drains in spinal surgery: results of an online, Germany-wide questionnaire

Eckardstein, Kajetan L. von; Dohmes, Jaqueline E.; Rohde, Veit

doi:10.1007/s00586-015-3790-8

Cited by 44 publications

(41 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have shown that laser light with a wavelength of 810 nm is suitable for the treatment of SCI by PBM . Hence, we chose a corresponding laser as the therapeutic light source.…”

Section: Discussioncontrasting

confidence: 77%

“…The temperature at which irreversible heat denaturation occurs for most proteins in mammalian tissues is approximately 60°C. At 50°C, the tissue will be damaged if the high temperature persists for longer than 1000 seconds . In our study, we want to investigate the proper power threshold which might cause thermal damage when the optical cable directly irradiated onto the spinal cord surface.…”

Section: Discussioncontrasting

confidence: 77%

“…In clinical practice, patients of acute spinal cord injury need to implant a closed‐suction drainage tube after posterior laminectomy decompression for reducing the incidence of seroma whenever potential spaces are surgically created . Similar to the procedure of implanting a drainage tube, our study confirmed the feasibility of implantation of an optical fiber above the spinal cord directly irradiating onto the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Photobiomodulation by diffusing optical fiber on spinal cord: A feasibility study in piglet model

Liang

Tao

Wang

et al. 2020

Journal of Biophotonics

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 77%

Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Photobiomodulation by diffusing optical fiber on spinal cord: A feasibility study in piglet model

Liang

Tao

Wang

et al. 2020

Journal of Biophotonics

View full text Add to dashboard Cite

show abstract

“…The choice is generally based on surgeon's satisfaction on the quality of hemostasis achieved, the magnitude of the surgical procedure and the risk of bleeding. In a recent study conducted by Kajetan et al, surgeons have heterogeneous opinions in terms of indication, duration and safety measures related to drain use 28) . In his study, 69% doctors preferred to use drains after instrumented surgeries.…”

Section: Discussionmentioning

confidence: 99%

Is Closed-Suction Drainage Essential after Minimally Invasive Lumbar Fusion Surgery?: A Retrospective Review of 381 Cases

Kulkarni

Patel

2017

J Minim Invasive Spine Surg Tech

View full text Add to dashboard Cite

Objective: Closed suction drains have been widely used after lumbar fusion surgeries but with controversial evidence. The recent advances in the minimally invasive spine surgeries (MIS) lead to smaller dead space, lesser blood loss and fewer infections. With these touted advantages the drains may not be necessary. Our study was aimed to evaluate the outcomes of MIS lumbar fusions without closed-suction drains. Methods: A retrospective review was conducted between June 2007 and January 2016. Patients that underwent MIS transforaminal lumbar interbody fusion (TLIFs) without postoperative drainage were enrolled. Patients with more than 12 months of follow-up were selected. Perioperative variables and clinical outcomes were analysed from the medical records. Incidences of infection and postoperative epidural hematoma were evaluated. Results: Out of 381 patients, there were 341 patients that underwent one-level fusion and 40 patients had two-level fusions. The mean operative time was 218 minutes (range: 150-348 minutes) per level, mean blood loss was 125 mL per level (range: 80-190 mL) and mean hospital stay was 5 days (range: 4-14 days). Visual Analogue Scale (VAS) leg, VAS back and Oswestry Disability Index (ODI) scores improved by 70.6%, 58.6% and 57.4% respectively. Three patients had infections and one patient developed postoperative epidural hematoma requiring surgical intervention. The infection rate was 0.78% and the incidence of postoperative epidural hematoma with the neurological deficit was 0.26%. Conclusion: MIS-TLIFs without a postoperative closed-suction drain showed favourable outcomes. There was no evidence of an increase in the rate of infection or increase in rate of symptomatic postoperative epidural hematoma in patients undergoing MIS-TILFs without a postoperative closed-suction drain.

show abstract

“…infection [3,4]. However, some studies have suggested that indwelling drainage after spinal surgery can reduce swelling of the operation area and may also lead to increased hemoglobin loss after operation; additionally, whether the drainage is placed has no significant effect on incision infection, hematoma, wound dehiscence or reoperation [5].…”

mentioning

confidence: 99%

Drainage or nondrainage for single-level anterior cervical discectomy with fusion and plating

Li¹,

Chou²,

Wang³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Currently, conventional placement of natural pressure drainage after single-level anterior cervical discectomy with fusion and plating (ACDF) is used clinically to prevent complications such as symptomatic epidural hematoma and incision infection. Nevertheless, a literature review reported that there is no uniform standard for whether to place drainage after single-level ACDF surgery, and comparative studies on this subject are rare.Methods A prospective study of 100 patients who underwent single-level ACDF from January 2017 to June 2018 and met the selection criteria were randomly divided into the control group (45 patients with drainage after surgery) and the study group (48 patients without drainage after surgery). The same types of preoperative preparation, surgical technique and postoperative management were used in the two groups. The perioperative indicators, postoperative clinical efficacy and complications were compared between the two groups.Results The preoperative and postoperative Japanese Orthopaedic Association (JOA) scores, Visual Analogue Scale (VAS) scores and Neck Dysfunction Index (NDI) scores in the two groups were significantly different (P < 0.05). The length of hospital stay in the study group was significantly shorter than that in the control group (P < 0.05). There were no significant differences in postoperative fever, surgical site infection, symptomatic epidural hematoma, rate of incision healing, or complications between the two groups (P>0.05).Conclusions The safety and clinical outcome of patients with drainage after single-level ACDF were consistent with those of nondrainage patients. Additionally, nondrainage after single-level ACDF resulted in a decreased length of hospital stay and lessened the associated expenses.

show abstract

Use of closed suction devices and other drains in spinal surgery: results of an online, Germany-wide questionnaire

Abstract: In terms of indication, duration, and safety measures, use of drains in spinal surgery is heterogeneous. The majority of surgeons prefer drains to suction in most cases, except for microdiskectomies, for which only 31% will use a drain. Nearly all colleagues discontinue drains by day 4.

Cited by 44 publications

References 14 publications

Photobiomodulation by diffusing optical fiber on spinal cord: A feasibility study in piglet model

Photobiomodulation by diffusing optical fiber on spinal cord: A feasibility study in piglet model

Is Closed-Suction Drainage Essential after Minimally Invasive Lumbar Fusion Surgery?: A Retrospective Review of 381 Cases

Drainage or nondrainage for single-level anterior cervical discectomy with fusion and plating

Contact Info

Product

Resources

About