[Uses and risks of drainage following elective colon resection. A prospective, randomized and controlled clinical study].
The results of a controlled randomized and prospective clinical study including 113 patients from March 1987 until August 1988 showed that prophylactic drainage in elective resection for cancer of the colon was not necessary. 60 patients received a drain, 53 patients were not drained. The drain turned out to be ineffective even concerning its expected function of draining intraabdominal fluid: its diagnostic and therapeutic value failed in clinical practice. The rate of surgical complications--i.e. anastomotic leakage, impaired wound healing and relaparotomy--was significantly higher in the drained group. In elective colon resection the use of a drain as a routine procedure cannot be recommended.
Hagmüller
E
E
Chirurgische Klinik, Universität Heidelberg.
Lorenz
D
D
Werthmann
K
K
Trede
M
M
D000368:Aged; D003110:Colonic Neoplasms / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D016032:Randomized Controlled Trials as Topic; D012086:Reoperation; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D014945:Wound Healing / Q000502:physiology
Nutzen und Risiken einer Drainage nach elektiven Colonresektionen. Eine prospektive, randomisierte und kontrollierte klinische Studie.