Evaluation of a new, improved surgical drainage system

Edlich, Richard F.; Haines, Peter C.; Pearce, R.Scott C.; Thacker, John G.; Rodeheaver, George T.

doi:10.1016/s0002-9610(85)80089-1

Cited by 9 publications

(2 citation statements)

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“…We should remember what Baraldi et al stated: ''Based on mental attitude that does not want to admit that leakage of bile is caused by gross technical mistakes.'' 6 Drains can also lead to a series of complications described in literature such as migration of the drain, 23 breaking of the drain, fever because of the drain, and perforation of the intestine. 7 However, the issue is not whether the use of the drain in LC is superior to the avoidance of drain, but whether the patient is in obvious hazard if a drain is not used.…”

Section: Discussionmentioning

confidence: 99%

Is the Routine Use of Drainage After Elective Laparoscopic Cholecystectomy Justified? A Randomized Trial

Georgiou

Demetriou

Pallaris

et al. 2011

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Is the Routine Use of Drainage After Elective Laparoscopic Cholecystectomy Justified? A Randomized Trial

Georgiou

Demetriou

Pallaris

et al. 2011

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Drains can also lead to a series of co mp licat ions described in literatures such as migration o f the drain, breaking of the drain, fever associated with the drain and perforation of the intestine, although no one did happened in our series (22) . However, the issue is not whether the use of the drain in LC is superior to the avoidance of drain, but whether the patient is in obvious hazard if a drain is not used.…”

Section: Resultsmentioning

confidence: 66%

Tube drainage versus without drain laparoscopic cholecystectomy

Abdulhassan¹

2021

ASRO

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Background: Laparoscopic cholecystectomy (LC) is the gold standard for the surgical treatment of cholelithiasis. Routine intra-abdominal drainage after elective LC is an issue of considerable debate. Objecti ve: To evaluate the advantages and disadvantages of intra peritoneal drain insertion in patients undergoing Laparoscopic cholecystectomy. Patient and Methods : We conducted this study at the surgical ward of Al-khadhmy ia teaching hospital in the period fro m the 1 st of September 2019 to the end of January 2020.A co mparison betweenintra-abdominal drainage cholecystectomy fro m withoutdrainage cholecystectomy was made based on a study in 60 randomly chosen cases underwent elective LC for sy mptomatic gall stonePatients were divided before surgical procedure into two groups. Group A includes 30 patients in whom a drain was placed in subhepatic space and group B consisted 30 patients without drain. Postoperative pain, nausea vomit ing and discomfort, hospital stay and surgical site infect ionall were assessed, in addition the two groups were evaluated and compared regarding other possible postoperativecomplications.ResultsAll the cases in this study was elective uncomplicated laparoscopic cholecystectomy. 60 cases with age range fro m 17-74 years were included in the study, twenty eight (93.3%) patients in group A had pain at the drain site after 24th hours and the pain was persisting in 25 (83.33%) patients even at 48th hour after surgery. While in group B nineteen (63.33%) patients had pain at port sites after 24th and 10(33.33%) patients had pain at 48th hour after surgery. The pain was higher in group A by more than two points on the average in VAS (Visual Analogue Scale) at 24 and 48 hours. Postoperative complications were more frequently seen in Group A. Pain in the right shoulder was more o ften observed in Group B.Nausea, vomit ing was more co mmon in Group A. Nine patient had superficial wound infection of the epigastric port in the postoperative period in Group A while no one in group B. The hospital stay was obviously longer in drain g roup than non-drain one 2-4 / 1-2 days subsequently.ConclusionThe routine drainage of gallbladder bed after elective laparoscopic cholecystectomy may not be justified and appears to cause more postoperative pain and more postoperative complications and prolongs the hospital stay.

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Novel Physically Crosslinked Polyurethane‐block‐Poly(vinyl pyrrolidone) Hydrogel Biomaterials

Patel

Mequanint

2007

Macromolecular Bioscience

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Successful tissue repair and regeneration relies on the design of new biomaterials that can mediate cell interaction without inflicting undesirable responses. Novel physically crosslinked polyurethane-block-poly(vinyl pyrrolidone) hydrogel biomaterials were synthesized by the macroiniferter controlled radical polymerization method. The structures of the hydrogels were studied by FT-IR and (1)H NMR. Hydrogels with EWC up to 37 wt.-% were prepared. The presence of the PVP block significantly increased the hard-segment glass transition temperature. Vascular smooth muscle cell attachment and spreading on the hydrogels indicated that these materials have a potential for use as scaffolds in tissue engineering.

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Evaluation of a new, improved surgical drainage system

Cited by 9 publications

References 1 publication

Is the Routine Use of Drainage After Elective Laparoscopic Cholecystectomy Justified? A Randomized Trial

Is the Routine Use of Drainage After Elective Laparoscopic Cholecystectomy Justified? A Randomized Trial

Tube drainage versus without drain laparoscopic cholecystectomy

Novel Physically Crosslinked Polyurethane‐block‐Poly(vinyl pyrrolidone) Hydrogel Biomaterials

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