Prophylactic closed suction drainage of femoral wounds in patients undergoing vascular reconstruction

Healy, Dean A.; Keyser, John; Holcomb, George; Dean, Richard H.; Smith, Blaine E.

doi:10.1016/0741-5214(89)90350-9

Cited by 39 publications

(11 citation statements)

References 8 publications

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“…In vascular, general, and orthopedic surgeries, the results of prospective randomized trials did not show any benefit with regard to use of surgical wound drains. 2) 9) 12) 16) 21) In a large prospective study of 23,949 general surgical wounds, 14,243 clean wounds without drains had a lower infection rate than 2,503 clean wounds with drains. 6) Esler et al, 10) in a prospective, randomized study, reported no significant difference between closed suction drain and non-drain groups in postoperative surgical site swelling, petechiae, and fever occurrence.…”

Section: Discussionmentioning

confidence: 99%

Necessity of Surgical Site Closed Suction Drain for Pterional Craniotomy

Choi

Yoon

Yoo

et al. 2015

J Cerebrovasc Endovasc Neurosurg

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ObjectiveThe aim of this study was to assess the benefit of using a prophylactic surgical site closed suction drain in pterional craniotomy.Materials and MethodsA retrospective review was conducted on 607 consecutive patients who underwent a pterional craniotomy for treatment of intracranial anterior circulation aneurysms over a 5-year period. Between January 2000 and December 2004, 607 patients were divided into two groups, those who had a prophylactic suction drain during closure of the surgical site (drain group, DG) and those who did not (non-drain group, NDG). Head computed tomography (CT) was taken routinely on postoperative day (POD) 1, 7, and 14. Patients' demographics, incidence of surgical site complications, and courses of surgical site healing which were evaluated radiologically by the thickness of the surgical site myocutaneous layer, were analyzed between DG and NDG.ResultsPatients' demographics and characteristics did not differ significantly between the two groups. The head CT showed that the degree of changes in the postoperative surgical site thickness was 148% at POD 1, 209% at POD 7, and 198% at POD 14 in DG, and 118% at POD 1, 152% at POD 7, and 158% at POD 14 in NDG compared to the preoperative value. Postoperative surgical site hematoma was 7.9% (22/274) in DG and 2.4% (8/333) in NDG.ConclusionProphylactic use of an epidural and/or subgaleal closed suction drain does not appear to be necessary for prevention of postoperative surgical site hematoma as well as for promotion of surgical site healing in pterional craniotomy.

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Section: Discussionmentioning

confidence: 99%

Necessity of Surgical Site Closed Suction Drain for Pterional Craniotomy

Choi

Yoon

Yoo

et al. 2015

J Cerebrovasc Endovasc Neurosurg

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“…In this case, the authors did not decrease the minor complication rate of hematomas, seromas, and lymphoceles, but did increase the rate of serious complications such as prosthetic graft infections. 5 In all these studies, the drains were removed before hospital discharge. Overall, little has been written regarding the effect of long-term surgical drainage on postoperative complication rates.…”

mentioning

confidence: 99%

A Minimalist Approach to the Care of the Indwelling Closed Suction Drain

Reid

Dumanian

2003

Annals of Plastic Surgery

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Despite their long-standing and prevalent use, closed suction drains lack a standardized postoperative care protocol. The authors present a prospective analysis of local wound problems associated with a minimalist approach to care of the drain exit site. A total of 73 patients undergoing a variety of procedures had 192 closed suction drains left in place on average over 10 days after surgery. Drain care consisted of daily showering with soap and water for the skin, no dressings, and stripping and emptying of the drain by the patient. Ninety-one percent of the patients followed the drain protocol and showered postoperatively without particular attention to the drains. There were 5 major complications of fluid collections leading to open wounds, 5 minor wound complications, and 2 wound complications unrelated to drain exit site care. Patient follow-up averaged 10 months. Overall, these data underscore the safety and efficacy associated with a simple approach to the management of closed suction drains.

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“…The initial search identified 414 publications. After screening, 4 randomized controlled trials were identified, [8][9][10][11] one of which was only published in abstract form. 8 One study randomized two separate cohorts, undergoing carotid endarterectomy or lower limb arterial surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Three trials [9][10][11] contained data regarding the incidence of wound infection as a postoperative complication. Dawson et al 8 only provided an aggregate total for hematomas and other wound complications such as infection.…”

Section: Outcome Measures Wound Infectionmentioning

confidence: 99%