SynthesisThe Cochrane database of systematic reviews2001
Closed suction surgical wound drainage after orthopaedic surgery.
Synthesis in The Cochrane database of systematic reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials.International orthopaedics · 2008Pooled it
- Wound drains following thyroid surgery.The Cochrane database of systematic reviews · 2007Pooled it
- Is a drain tube necessary for minimally invasive lumbar spine fusion surgery?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017Trial
- [The value of wound drainage with or without suction].Der Unfallchirurg · 2005Trial
- [Aseptic revisions and pulmonary embolism after surgical treatment of femoral neck fractures with cemented and cementless hemiarthroplasty in Germany : An analysis from the Germany Arthroplasty Registry (EPRD)].Orthopadie (Heidelberg, Germany) · 2023Review
- Is Routine Use of Drain Really Necessary for Posterior Lumbar Interbody Fusion Surgery? A Retrospective Case Series with a Historical Control Group.Global spine journal · 2023Article
- When to remove? Evaluation of postoperative drainage volume after single-level posterior lumbar interbody fusion.Journal of orthopaedics · 2023Article
- The usage of drainage after primary total hip or knee arthroplasty: best evidence selection and risk of bias considerations.BMC musculoskeletal disorders · 2021Review
- [Personal preference, experience, intuition and school of surgery dominate the use of wound drainage in dermatosurgery].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2021Article
- Diagnostic performance of suction drainage fluid culture for acute surgical site infection after aseptic instrumented spine surgery: a retrospective analysis of 363 cases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Observational
- Use of BioPatch® (Protective Disk with Chlorhexidine Gluconate) in Closed-Suction Drainage for Penile Implant Surgery.Current urology · 2014Article
- A multi-disciplinary review of the potential association between closed-suction drains and surgical site infection.Surgical infections · 2013Review
- Noninfectious wound complications in clean surgery: epidemiology, risk factors, and association with antibiotic use.World journal of surgery · 2011Article
- Decreasing expander breast infection: A new drain care protocol.The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique · 2009Article
- Myths and legends in orthopaedic practice: are we all guilty?Clinical orthopaedics and related research · 2008Review
- [Pain therapy for the lower extremities].Der Orthopade · 2008Review
- Survival curve and factors related to drainage during the first 24 h after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2008Article
- Timing of re-transfusion drain removal following total knee replacement.Annals of the Royal College of Surgeons of England · 2006Article
- Best practices for elderly hip fracture patients. A systematic overview of the evidence.Journal of general internal medicine · 2005Review
- Why is it important to reduce the need for blood transfusion, and how can it be done?BMJ (Clinical research ed.) · 2002Article
Corrections and comments
- Updated by
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClosed suction drainage systems are frequently used to drain fluids, particularly blood, from surgical wounds. The aim of these systems is to reduce the occurrence of wound haematomas and infection.
objectivesTo evaluate the effectiveness of closed suction drainage systems for orthopaedic surgery. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group specialised register (May 2001), MEDLINE (1996-May 2001) and references from articles. SELECTION CRITERIA: All randomised or quasi-randomised trials comparing the use of closed suction drainage systems with no drainage systems for all types of elective and emergency orthopaedic surgery. DATA COLLECTION AND ANALYSIS: Both reviewers independently assessed trial quality, using a nine item scale, and extracted data. Wherever appropriate and possible, the data are presented graphically. MAIN
resultsTwenty-one studies involving 2772 patients with 2971 wounds were included in the analysis. The types of surgery involved were hip and knee replacement, shoulder surgery, hip fracture surgery, spinal surgery, cruciate ligament reconstruction, open meniscectomy and fracture fixation surgery. Many of the studies had poor methodology and reporting of outcomes. Pooling of results indicated no difference in the incidence of wound infection, haematoma or dehiscence between those allocated to drains and the un-drained wounds. There was a tendency to an increased risk of re-operation for wound complications in the group with drains (relative risk (RR) 2.25, 95% confidence intervals (CI) 0.95 to 5.33), but due to the small numbers of cases involved definite conclusions cannot be made for this outcome. Blood transfusion was required more frequently in those who received drains (RR 1.41, 95% CI 1.10 to 1.80). The need for reinforcement of wound dressings (RR 0.22, 95% CI 0.13 to 0.40) and bruising around the operation site was more common in the group without drains. REVIEWER'S
conclusionsThere is insufficient evidence from randomised trials to support or refute the routine use of closed suction drainage in orthopaedic surgery. Further randomised trials are required before definite conclusions can be made.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.