Evidence map›Paper›PMID 27344569›Full record

Trial reportEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017

Is a drain tube necessary for minimally invasive lumbar spine fusion surgery?

Pei-I Hung, Ming-Chau Chang, Po-Hsin Chou, Hsi-Hsien Lin, Shih-Tien Wang, Chien-Lin Liu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Closed-suction drainage in thoracolumbar spinal surgery-clinical routine without evidence? a systematic review.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 · 2022
    Pooled it
  3. Pooled it
  4. Risk-benefit analysis of wound drain usage in spine surgery: a systematic review and meta-analysis with evidence summary.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 · 2020
    Pooled it
  5. Trial
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  14. Lumbar surgical drains do not increase the risk of infections in patients undergoing spine 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 · 2022
    Article
  15. Article
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  18. Differences in the interbody bone graft area and fusion rate between minimally invasive and traditional open transforaminal lumbar interbody fusion: a retrospective short-term image analysis.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 · 2019
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  20. Generalizing the results: how can we improve our reports?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 · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pei-I HungDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC.
Ming-Chau ChangDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC.
Po-Hsin ChouDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC.
Hsi-Hsien LinDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC. hsihsienlin@gmail.com.
Shih-Tien WangDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC.
Chien-Lin LiuDepartment of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Section 2, Shi-pai Road, 112, Taipei, 11217, Taiwan, ROC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate if closed suction wound drainage is necessary in minimally invasive surgery of transforaminal lumbar interbody fusion (MIS TLIF).

methodsThis is a prospective randomized clinical study. Fifty-six patients who underwent MIS TLIF were randomly divided into groups A (with a closed suction wound drainage) and B (without tube drainage). Surgical duration, intraoperative blood loss, timing of ambulation, length of hospital stay and complications were recorded. Patients were followed up for an average of 25.3 months. Clinical outcome was assessed using the Oswestry disability index and visual analogue scale (VAS). Fusion rate was classified with the Bridwell grading system, based on plain radiograph.

resultsBoth groups had similar patient demographics. The use of drains had no significant influence on perioperative parameters including operative time, estimated blood loss, length of stay and complications. Patients in group B started ambulation 1 day earlier than patients in group A (p < 0.001). Clinical outcomes were comparable between group A and group B.

conclusionA drain tube can lead to pain, anxiety and discomfort during the postoperative period. We conclude that drain tubes are not necessary for MIS TLIF. Patients without drains had the benefit of earlier ambulation than those with drains.

Indexed as

Minimally Invasive Surgical ProceduresSpinal FusionAdultAgedAged, 80 and overBlood Loss, SurgicalDrainageFemaleHumansLength of StayLumbar VertebraeMaleMiddle AgedOperative TimePostoperative CareProspective StudiesDrain tubeEpidural haematomaInfectionMinimally invasive surgeryMIS TLIF

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.