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International Journal of Colorectal Disease

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01-03-2014 | Original Article

A prospective randomized controlled trial of subcutaneous passive drainage for the prevention of superficial surgical site infections in open and laparoscopic colorectal surgery

Authors: Masakatsu Numata, Teni Godai, Junya Shirai, Kazuteru Watanabe, Daisuke Inagaki, Shinichi Hasegawa, Tsutomu Sato, Takashi Oshima, Shoichi Fujii, Chikara Kunisaki, Norio Yukawa, Yasushi Rino, Masataka Taguri, Satoshi Morita, Munetaka Masuda

Published in: International Journal of Colorectal Disease | Issue 3/2014

Abstract

Introduction

A number of studies have evaluated the effects of subcutaneous drainage during digestive surgery. All of the previous studies assessed the usefulness of active-suctioning drain, including two randomized controlled studies which found no benefit for the placement of active-suctioning drains in digestive surgery. The utility of passive drainage has not been evaluated previously. The purpose of this study was to evaluate the efficacy of subcutaneous passive drainage system for preventing surgical site infections during major colorectal surgery.

Patients and methods

A total of 263 patients who underwent major colorectal surgery were enrolled in this study. Patients were randomly assigned to receive subcutaneous passive drainage or no drainage. The primary outcome measured was the incidence of superficial surgical site infections. The secondary outcomes measured were the development of hematomas, seromas, and wound dehiscence.

Results

Finally, a total of 246 patients (124 underwent passive drainage, and 122 underwent no drainage) were included in the analysis after randomization. There was a significant difference in the incidence of superficial surgical site infections between patients assigned to the passive drainage and no drainage groups (3.2 % vs 9.8 %, respectively, P = 0.041). There were no cases that developed a hematoma, seroma, or wound dehiscence in either group. A subgroup analysis revealed that male gender, age ≥75 years, diabetes mellitus, American Society of Anesthesiologists (ASA) status ≥2, blood loss ≥100 ml, and open access were factors that were associated with a beneficial effect of subcutaneous passive drainage.

Conclusions

Subcutaneous passive drainage provides benefits over no drainage in patients undergoing major colorectal surgery.

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Title: A prospective randomized controlled trial of subcutaneous passive drainage for the prevention of superficial surgical site infections in open and laparoscopic colorectal surgery
Authors: Masakatsu Numata
Teni Godai
Junya Shirai
Kazuteru Watanabe
Daisuke Inagaki
Shinichi Hasegawa
Tsutomu Sato
Takashi Oshima
Shoichi Fujii
Chikara Kunisaki
Norio Yukawa
Yasushi Rino
Masataka Taguri
Satoshi Morita
Munetaka Masuda
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 3/2014
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-013-1810-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A prospective randomized controlled trial of subcutaneous passive drainage for the prevention of superficial surgical site infections in open and laparoscopic colorectal surgery

Abstract

Introduction

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusions

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