ArticleIndian journal of surgical oncology2011
Drain vs No Drain After Colorectal Surgery.
Article in Indian journal of surgical oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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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
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Early vs late drain removal after pancreatic resection-a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- To drain or not to drain in colorectal anastomosis: a meta-analysis.International journal of colorectal disease · 2016Pooled it
- Prophylactic anastomotic drainage for colorectal surgery.The Cochrane database of systematic reviews · 2004Pooled it
- Extraperitoneal tunneling reduces intraperitoneal drain displacement in rectal cancer surgery: a single-center before-and-after comparative study.Annals of coloproctology · 2026Article
- Advancing early diagnosis of colorectal anastomotic leakage using drain fluid biochemical analysis.Scientific reports · 2026Article
- Comment on "Implementing a no‑drain policy for extraperitoneal colorectal anastomosis in a real‑life setting: analysis of outcomes and surgeons' adherence".International journal of colorectal disease · 2024Article
- Effect of prophylactic abdominal drainage on postoperative pain in laparoscopic hemicolectomy for colon cancer: a single-center observational study in Korea.Journal of minimally invasive surgery · 2024Article
- Intra-peritoneal migration of abdominal drain after cholecystectomy - Laparoscopic retrieval: A case report.Journal of minimal access surgery · 2024Article
- Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort.BJS open · 2024Article
- Article
- Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study.The British journal of surgery · 2022Article
- Procedures Never Explained in Textbooks: How to Correctly Convert a Closed-Suction Drain to a Closed-Gravity Drain, and How to Correctly Remove a Closed-Suction Drain Off Suction.Journal of surgery and research · 2022Article
- Risk Factors for Anastomotic Leak, Consideration for Proximal Diversion, and Appropriate Use of Drains.Clinics in colon and rectal surgery · 2021Review
- Drainage smell and peritonitis are efficient indicators of anastomotic leakage after laparoscopic rectal cancer resection.The Journal of international medical research · 2020Article
- The factors related to failure of Enhanced Recovery after Surgery (ERAS) in colon cancer surgery.Langenbeck's archives of surgery · 2020Article
- Management of anastomotic leakage after rectal surgery: a review article.Journal of gastrointestinal oncology · 2019Review
- Routine Drainage of Colorectal Anastomoses: An Evidence-Based Review of the Current Literature.Gastroenterology research and practice · 2017Review
- The challenge of post-operative peritonitis after gastrointestinal surgery.Updates in surgery · 2015Review
- Leakage after Surgery for Rectum Cancer: Inconsistency in Reporting to the Danish Colorectal Cancer Group.Surgery research and practice · 2015Article
- Use of intra-abdominal drains.Clinics in colon and rectal surgery · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In colorectal surgery, drains are expected to prevent hematoma, fluid collection, or abscess formation, to act as an indicator of postoperative complication, or to minimize the severity of complication-related symptoms. Routine drainage has not been advocated by meta-analyses as they failed to demonstrate any benefit in reducing anastomotic leak rate, minimizing symptoms, or serving as a warning function. Moreover, some reports even showed that drain itself is an independent risk factor of anastomosis. The introduction of total mesorectal excision (TME) for rectal cancer surgery has given further concern to this controversial issue, that the use of drain decreased anastomotic failure rate and the need for surgical re-intervention. While controversy still remains, the choice of using drain is left to the individual surgeon's preference in daily practice. Therefore, surgeons should be well acquainted with purpose of drainage (prophylaxis, information, or treatment), characteristics (materials), clinical application of drain (type of drainage system, timing of removal), surgical outcomes after using drain (incidence of postoperative complication), and drain-related complications. If drains are used, careful observation with proper use is crucial for the management. It is important that the duration of drainage should not be inadequately extended. Any complications directly associated with the use of drain should be avoided. New concepts of drain have been proposed as diagnostic tool using biomarkers, and as preventive device against anastomotic leak. This article overviews the available, published data on the use of drain in colorectal surgery.
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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.