ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2012
Do we really need routine drainage after laparoscopic adrenalectomy and splenectomy?
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guidelines for the performance of minimally invasive splenectomy.Surgical endoscopy · 2021Pooled it
- Should surgical drainage after lateral transperitoneal laparoscopic adrenalectomy be routine?-A retrospective comparative study.Gland surgery · 2021Article
- Factors associated with prolonged hospital stay after laparoscopic adrenalectomy.Updates in surgery · 2021Article
- Risk factors for hemodynamic instability during laparoscopic pheochromocytoma resection: a retrospective cohort study.Gland surgery · 2021Article
- Lateral retroperitoneoscopic adrenalectomy: advantages and drawbacks.Updates in surgery · 2020Article
- Futility of abdominal drain in elective laparoscopic splenectomy.Langenbeck's archives of surgery · 2020Article
- Article
- Prognostic Factors for Immune Thrombocytopenic Purpura Remission after Laparoscopic Splenectomy: A Cohort Study.Medicina (Kaunas, Lithuania) · 2019Article
- Quest for the optimal technique of laparoscopic splenectomy - vessels first or hilar transection?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Short- and long-term results of laparoscopic adrenalectomy for Conn's syndrome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Laparoscopic splenectomy for immune thrombocytopenia in patients with a very low platelet count.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Risk factors for prolonged hospitalization in patients undergoing laparoscopic adrenalectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Open adrenalectomy versus laparoscopic adrenalectomy for adrenocortical carcinoma: a retrospective comparative study on short-term oncologic prognosis.OncoTargets and therapy · 2018Article
- Preoperative risk factors for massive blood loss in adrenalectomy for pheochromocytoma.Oncotarget · 2017Article
- Laparoendoscopic single-site surgery adrenalectomy - own experience and matched case-control study with standard laparoscopic adrenalectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014Article
- Position of laparo-endoscopic single-site surgery nephrectomy in clinical practice and comparison (matched case-control study) with standard laparoscopic nephrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014Article
- Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2013Article
- Laparoscopic splenectomy complicated by pancreatic cyst in the course of Hodgkin's disease: case report.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2013Article
- Surgical treatment options for aldosteronomas.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2012Article
- Surgical drain after open or laparoscopic splenectomy: is it needed or contraindicated?Il Giornale di chirurgiaArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNot only did the introduction of laparoscopy not dispel the controversy over routine drainage after uncomplicated surgery, but paradoxically it contributed to enlivening the debate on the issue.
aimTo determine the usefulness of operative site drainage after "clean", uncomplicated laparoscopic surgery such as splenectomy or adrenalectomy. MATERIAL AND
methodsOne hundred and seventy-six participants (female : male 114 : 62) operated on in our centre between Jan 2008 and Nov 2010 were included in the prospective study. Adrenalectomy was performed in 122 patients and splenectomy in 54. In some patients no drains were left after the procedure, while the others had drainage employed. The incidence and character of post-operational complications, the necessity of repeat surgery and the length of the hospital stay were analysed.
resultsIn 112 patients (63.6%) the drain was inserted in the operational field, while in the remaining 64 (36.4%) it was not. Out of the whole series of 112 patients with drainage used, complications were observed in 6 cases (5.36%) while in the group of patients without drainage they appeared in 2 (3.12%) of those operated on (p < 0.05). Infectious complications were observed more often in the series with drainage (3.57% vs. 0%, p < 0.05). The hospital stay in patients with drainage was statistically significantly longer than in patients without.
conclusionsBased on the study, no justification for routine drainage after scheduled, uncomplicated laparoscopic adrenalectomy and splenectomy was found. The decision whether to leave a drain should be made for every patient individually.
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