Closed suction surgical wound drainage after anterior cruciate ligament reconstruction: A systematic review of randomised controlled trials

Postoperative complications of anterior cruciate ligament reconstruction after ambulatory surgery

“…Although this procedure is no longer recommended routinely in the literature, 5,6 it is a variable that differs between both groups. Nevertheless, this fact would have been significant if the conclusion had been the alternative hypothesis, instead of the null as was ultimately the case.…”

“…In general, patients were discharged 24 h after the intervention, after removing the drainage in those cases where it had been necessary, or else on the same day of the surgery if no drainage was needed. 6,7 Prophylaxis with low molecular weight heparin was maintained during a maximum of 3 weeks after the intervention, according to the protocol of the hospital, generally removing the treatment at the time that patients began their mobilization exercises. All patients were given postoperative education on basic care after the surgery and were recommended, according to the protocol of the Department of Traumatology and Orthopedic Surgery, to attend the Emergency Service of the hospital or contact the Department by telephone, instead of attending extrahospital centers or their primary care physicians for the evaluation of any possible complications.…”

Inside-Out Trans-Arthroscopic Drain Application During Knee Joint Arthroscopy

“…The general consensus regarding drain application is dependent on the intensity of the procedure (e.g., multiligament reconstruction v partial meniscectomy) and operation duration. Despite this, the existing evidence is inconclusive regarding the use of a drain during anterior cruciate ligament replacement surgery, 7 and there are no high-level data regarding the topic of meniscus or cartilage surgery. Tatari et al 8 have reported, in a comparative trial, that subtotal meniscal resection, drilling of the osteochondral faces, and the longer duration of the operation increase the amount of fluid within the joint, and they recommend the use of a drain.…”

Stellenwert von Drainagen in der Chirurgie

“…Weitere Evidenz existiert ansonsten nur bei proximalen Femurfrakturen und bei Kreuzbandersatzplastiken [7]. In einer qualitativ mäßigen Metaanalyse (EN 2) mit 664 Patienten wurde der Nutzen von Drainagen bei operativ versorgten proximalen Femurfrakturen untersucht.…”

“…Die Ergebnisse zeigen sich vergleichbar zur primären Endoprothetik des Hüft-und Kniegelenkes, wenngleich einschränkend hinzugefügt werden muss, dass die Studien bezüglich der Versorgungsart (Gelenkersatz vs. Gelenkerhalt) und Methodik heterogen waren [8]. Hinsichtlich des Nutzen-Risiko-Profils von Drainagen bei Kreuzbandersatzplastiken konnte in einem systematischen Review keine Signifikanz für oder wider Drainagen festgestellt werden (EN 2; [7]). …”