Abdominal drainage after liver transplantation from deceased donors

Schwarz, Christoph; Soliman, Thomas; Györi, Georg; Silberhumer, Gerd R.; Schoppmann, Sebastian F.; Mühlbacher, Ferdinand; Berlakovich, Gabriela

doi:10.1007/s00423-015-1338-3

Cited by 7 publications

(14 citation statements)

References 19 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Schwarz and colleagues found a higher incidence of bile leak in the drainage group, with half of them identified early through the drain. This study also showed more infectious complications when drains were used 3 . It was suggested by Weiss and colleagues not to use open‐circuit drains, as these drains were associated with significantly more intra‐abdominal infections 4 .…”

Section: Discussionsupporting

confidence: 55%

“…Higher incidence of infections in the drainage group was reported by Schwarz et al Only Schwarz et al reported a greater incidence of infections in the drainage group (63.8% vs. 39.7%; p = .015), without differences in the other two studies. 3 Weiss and colleagues compared open-circuit (Easy-Flow) and closed-circuit (Robinson) drains and found significantly more intra-abdominal infections when open-circuit drains were used (50% vs. 22.5%; p < .001). 4…”

Section: Systematic Review Of the Literature On Outcomes Related To T...mentioning

confidence: 99%

“…Others believe that they are not as useful and only serve to increase potential risk for infection and may even be a reason for increased length of stay post-transplant. [1][2][3][4][5][6] A similar argument and debate is made over the use of T-tubes. It is well known that biliary complications are still a major cause of long-term morbidity after LT. [7][8][9][10] In addition to technical and vascular issues leading to biliary complications, surgeons have debated whether or not using a T-tube is contributing to or reducing the occurrence of these complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The role of T‐tubes and abdominal drains on short‐term outcomes in liver transplantation – A systematic review of the literature and expert panel recommendations

Kalisvaart

Jonge

Abt

et al. 2022

Clinical Transplantation

View full text Add to dashboard Cite

Background: This systematic review and expert panel recommendation aims to answer the question regarding the routine use of T-tubes or abdominal drains to better manage complications and thereby improve outcomes after liver transplantation.Methods: Systematic review following PRISMA guidelines and recommendations using the GRADE approach derived from an international expert panel to assess the potential risks and benefits of T-tubes and intra-abdominal drainage in liver transplantation (CRD42021243036).Results: Of the 2996 screened records, 33 studies were included in the systematic review, of which 29 (six RCTs) assessed the use of T-tubes and four regarding surgical drains. Although some studies reported less strictures when using a T-tube, there was a trend toward more biliary complications with T-tubes, mainly related to biliary leakage. Due to the small number of studies, there was a paucity of evidence on the effect of abdominal drains with no clear benefit for or against the use of drainage. However, This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Systematic Review Of the Literature On Outcomes Related To T...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of T‐tubes and abdominal drains on short‐term outcomes in liver transplantation – A systematic review of the literature and expert panel recommendations

Kalisvaart

Jonge

Abt

et al. 2022

Clinical Transplantation

View full text Add to dashboard Cite

show abstract

“…In relation to isolated LTx, single institution studies reported no benefits of drain insertion in overall morbidity and mortality (21)(22)(23)(24). However, the only systematic review reported on this theme in 2011 did not find any evidence to conclude whether routine abdominal drainage is useful or harmful in patients undergoing LTx (25).…”

Section: Discussionmentioning

confidence: 99%

“…While reports in the literature regarding the potential benefit of prophylactic surgical drainage are rather sporadic and show contrasting results as to whether there is any advantage of inserting drains after isolated liver and kidney transplantation (8,(21)(22)(23)(24)(25)(26)(27)(28)(29), there is currently no study that has addressed this topic in combined liver and kidney transplantation (CLKTx).…”

Section: Introductionmentioning

confidence: 99%

No Benefit of Prophylactic Surgical Drainage in Combined Liver and Kidney Transplantation: Our Experience and Review of the Literature

et al. 2021

View full text Add to dashboard Cite

Background: Contrasting results have emerged from limited studies investigating the role of prophylactic surgical drainage in preventing wound morbidity after liver and kidney transplantation. This retrospective study analyzes the use of surgical drain and the incidence of wound complications in combined liver and kidney transplantation (CLKTx).Methods: A total of 55 patients aged ≥18 years were divided into two groups: the drain group (D) (n = 35) and the drain-free group (DF) (n = 20). Discretion to place a drain was based exclusively on surgeon preference. All deceased donor kidneys were connected to the LifePort Renal Preservation Machine® prior to transplantation, in both simultaneous and delayed technique of implantation of the renal allograft. The primary outcome was the development of superficial/deep wound complications during the study follow-up. Secondary outcomes included the development of delayed graft function (DGF) of the transplanted kidney, primary non-function (PNF) and early allograft dysfunction (EAD) of the transplanted liver, graft failure, graft and patient survival, overall post-operative morbidity rate and length of hospital stay.Results: With a median follow-up of 14.4 months after transplant, no difference in the incidence of superficial/deep wound complications, except for hematomas, in collections size, intervention rate, PNF, EAD, graft failure and patient survival, was observed between the 2 groups. Significantly lower level of platelets, higher INR values, DGF, morbidity rates and length of hospital stay were reported post-operatively in the D group. Pre-operative hypoalbuminemia and longer CIT were included in the propensity score for receiving a drain and were associated with a significantly higher rate of developing a hematoma post-transplant.Conclusions: Absence of the surgical drain did not appear to adversely affect wound morbidity compared to the prophylactic use of drains in renal transplant patients during CLKTx.

show abstract

Enhanced Recovery in Liver Transplantation: A Feasibility Study

et al. 2018

View full text Add to dashboard Cite

show abstract

Abdominal drainage after liver transplantation from deceased donors

Abstract: Equal results can be achieved with or without an abdominal drain in recipients with whole-liver grafts in spite of an increased risk of postoperative infection and biliary leakage in the former group. A benefit of AD as a diagnostic tool could not be demonstrated.

Cited by 7 publications

References 19 publications

The role of T‐tubes and abdominal drains on short‐term outcomes in liver transplantation – A systematic review of the literature and expert panel recommendations

The role of T‐tubes and abdominal drains on short‐term outcomes in liver transplantation – A systematic review of the literature and expert panel recommendations

No Benefit of Prophylactic Surgical Drainage in Combined Liver and Kidney Transplantation: Our Experience and Review of the Literature

Enhanced Recovery in Liver Transplantation: A Feasibility Study

Contact Info

Product

Resources

About