title: [Is suction drainage necessary in elective total hip arthroplasty?].
abstract: BACKGROUND
  Several studies have been published which questioned the use of suction drain during elective hip arthroplasty.
  
  
  OBJECTIVE
  In this prospective study the authors examined how the use of suction drainage affected complications related to perioperative blood loss and hemorrhage in patients undergoing elective hip arthroplasty.
  
  
  METHODS
  Eighty-six patients undergoing elective hip arthroplasty were divided into two groups. In 54 patients ("drain" group) suction drains were used during operation, whereas in 32 patients no suction drain was applied. Perioperative blood loss, use of tranexamic acid, method of thrombosis prophylaxis, transfusion requirement, incidental postoperative hemorrhage, septic complications, and all other postoperative complications were recorded.
  
  
  RESULTS
  Perioperative blood loss was affected with the use of tranexamic acid but not with the use of drainage (p = 0.94). Patients without the use of drain showed a tendency of lower transfusion requirement (p = 0.08). There was no correlation between any complications and the use of drainage.
  
  
  CONCLUSIONS
  In accordance with published results the authors conclude that the routine use of suction drainage during elective hip arthroplasty is not definitely necessary. Orv. Hetil., 2016, 157(29), 1171-1176.
authors.affiliation: Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.|Traumatológiai Osztály, Hetényi Géza Kórház Szolnok.
authors.forename: Tibor
authors.initials: T
authors.lastname: Major
authors.affiliation: Pulmonológiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: András
authors.initials: A
authors.lastname: Bikov
authors.affiliation: Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Gergely
authors.initials: G
authors.lastname: Holnapy
authors.affiliation: Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Bejek
authors.affiliation: Aneszteziológiai és Intenzív Terápiás Osztály, Hetényi Géza Kórház Szolnok.
authors.forename: Bernadett
authors.initials: B
authors.lastname: Bakos
authors.affiliation: Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Miklós
authors.initials: M
authors.lastname: Szendrői
authors.affiliation: Ortopédiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: Gábor
authors.initials: G
authors.lastname: Skaliczki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods / Q000592:standards / Q000639:trends; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D013396:Suction
keywords: red blood cell transfusion; suction drainage; szívódrén; teljes csípőprotézis; total hip arthroplasty; tranexamic acid; tranexámsav; vörösvérsejt-transzfúzió