Recent evidence for subcutaneous drains to prevent surgical site infections after abdominal surgery: A systematic review and meta-analysis

被引：0

作者：

Ishinuki, Tomohiro ^{[1
]}

Shinkawa, Hiroji ^{[2
]}

Kouzu, Keita ^{[3
]}

Shinji, Seiichi ^{[4
]}

Goda, Erika ^{[5
]}

Ohyanagi, Toshio ^{[6
]}

Kobayashi, Masahiro ^{[7
]}

Kobayashi, Motomu ^{[8
]}

Suzuki, Katsunori ^{[9
]}

Kitagawa, Yuichi ^{[10
]}

Yamashita, Chizuru ^{[11
]}

Mohri, Yasuhiko ^{[12
]}

Shimizu, Junzo ^{[13
]}

Uchino, Motoi ^{[14
]}

Haji, Seiji ^{[15
]}

Yoshida, Masahiro ^{[16
]}

Ohge, Hiroki ^{[17
]}

Mayumi, Toshihiko ^{[18
]}

Mizuguchi, Toru ^{[1
,19
]}

机构：

[1] Sapporo Med Univ, Dept Nursing, Surg Sci, Sapporo, Hokkaido 0608556, Japan

[2] Osaka Metropolitan Univ, Dept Hepatobiliary Pancreat Surg, Grad Sch Med, Abeno Ku, Osaka 5450051, Japan

[3] Natl Def Med Coll, Dept Surg, Tokorozawa 3598513, Japan

[4] Nippon Med Sch, Dept Gastrointestinal & Hepatobiliary Pancreat Sur, Tokyo 1138602, Japan

[5] Japan Hlth Care Univ, Dept Nursing, Sapporo 0620053, Japan

[6] Sapporo Med Univ, Ctr Med Educ, Dept Liberal Arts & Sci, Sapporo 0608556, Japan

[7] Kitasato Univ, Res & Educ Ctr Clin Pharm, Dept Clin Pharmacokinet, Tokyo 1088641, Japan

[8] Hokushinkai Megumino Hosp, Dept Anesthesiol, Eniwa 0611395, Japan

[9] Univ Occupat & Environm Hlth, Sch Med, Dept Infect Dis Med, Kitakyushu 8078555, Japan

[10] Natl Ctr Geriatr & Gerontol, Dept Gastrointestinal Surg, Obu 4748511, Japan

[11] Fujita Hlth Univ, Dept Anesthesiol & Crit Care Med, Toyoake 4701192, Japan

[12] Mie Prefectural Gen Med Ctr, Dept Gastrointestinal Surg, Yokkaich 5108561, Japan

[13] Toyonaka City Hosp, Dept Surg, Toyonaka 5608565, Japan

[14] Hyogo Med Univ, Dept Gastroenterol Surg, Nishinomiya 6638501, Japan

[15] Soseikai Gen Hosp, Dept Surg, Kyoto 6128473, Japan

[16] Int Univ Hlth & Welf, Dept Hepatobiliary Pancreat & Gastrointestinal Sur, Ichikawa 2720827, Japan

[17] Hiroshima Univ Hosp, Dept Infect Dis, Hiroshima 7348551, Japan

[18] Chukyo Hosp, Dept Intens Care Unit, Japan Community Hlth Care Org, Nagoya 4578510, Japan

[19] Sapporo Med Univ, Dept Nursing, Surg Sci, S1,W17,Chuo Ku, Sapporo, Hokkaido 0608556, Japan

来源：

WORLD JOURNAL OF GASTROINTESTINAL SURGERY | 2023年 / 15卷 / 12期

关键词：

Abdominal surgery; Mortality; Seroma formation; Subcutaneous drain; Surgical site infections; RANDOMIZED CONTROLLED-TRIAL; SUCTION DRAINS; HEPATIC RESECTION; BREAST SURGERY; RISK-FACTORS; GUIDELINE; CLOSURE; REDUCE; IMPACT; REPAIR;

D O I：

10.4240/wjgs.v15.i12.2879

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

BACKGROUNDSurgical site infections (SSIs) increase mortality, hospital stays, additional medical treatment, and medical costs. Subcutaneous drains prevent SSIs in gynecological and breast surgeries; however, their clinical impact in abdominal surgery remains unclear.AIMTo investigate whether subcutaneous drains were beneficial in abdominal surgery using a systematic review and meta-analysis.METHODSThe database search used PubMed, MEDLINE, and the Cochrane Library. The following inclusion criteria were set for the systematic review: (1) Randomized controlled trial studies comparing SSIs after abdominal surgery with or without subcutaneous drains; and (2) Studies that described clinical outcomes, such as SSIs, seroma formation, the length of hospital stays, and mortality.RESULTSEight studies were included in this meta-analysis. The rate of total SSIs was significantly lower in the drained group (54/771, 7.0%) than in the control group (89/759, 11.7%), particularly in gastrointestinal surgery. Furthermore, the rate of superficial SSIs was slightly lower in the drained group (31/517, 6.0%) than in the control group (49/521, 9.4%). No significant differences were observed in seroma formation between the groups. Hospital stays were shorter in the drained group than in the control group.CONCLUSIONSubcutaneous drains after abdominal surgery prevented SSIs and reduced hospital stays but did not significantly affect seroma formation. The timing of drain removal needs to be reconsidered in future studies.

引用

页数：12

共 37 条

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