Format

Send to

Choose Destination
See comment in PubMed Commons below
Int Surg. 2013 Oct-Dec;98(4):307-10. doi: 10.9738/INTSURG-D-13-00003.1.

Prophylactic and informational abdominal drainage is not necessary after colectomy and suprapromontory anastomosis.

Author information

1
1 Department of General Surgical Science, Gunma University Graduate School, Graduate School of Medicine, Maebashi, Japan.

Abstract

Several randomized prospective studies in western countries regarding the usefulness of prophylactic drainage have concluded that prophylactic abdominal drainage tubes are unnecessary. In Japan, however, longitudinal and vascular margins are rather different from in western countries. Furthermore, body mass index and volume of mesentery differed. Thus, although it is a retrospective study, it is worth investigating the usefulness of prophylactic drainage in the Japanese context. Two hundred sixty patients underwent colectomy and suprapromontory anastomosis. Prophylactic drainage tubes were inserted in 124 cases (47%) and not inserted in 136 cases (53%). In terms of postoperative complications, no statistically significant difference was found between the with-drainage and the without-drainage groups. The incidence of the abscess formation was not statistically different in the with-drainage group (4.0%) or the without-drainage group (0.7%). We concluded that the prophylactic and informational drainage tubes are not necessary even in Japanese cases of suprapromontory anastomosis, which typically have a wide resection and regional lymphadenectomy containing the roots of regional vessels.

PMID:
24229014
PMCID:
PMC3829054
DOI:
10.9738/INTSURG-D-13-00003.1
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Allen Press, Inc. Icon for PubMed Central
    Loading ...
    Support Center