Key result
Intra-abdominal drains cut anastomosis leakage ~70% vs no drainage following intra-abdominal surgeries.
Why the study?
The study was designed to compare the frequency of intra-abdominal complications between drainage and non-drainage groups among patients undergoing intra-abdominal surgeries.
Does intra-abdominal drain reduce complications in patients undergoing intra-abdominal surgeries?
RCT (n=32)
Open-label
Random number table method
No
Does intra-abdominal drain reduce complications in patients undergoing intra-abdominal surgeries?
Absolute Event Rate: 9.4% vs 31.3%
p-value: p=0.02
The use of intra-abdominal drains significantly reduced the frequency of anastomosis leakage, wound infection, mortality, pulmonary complications, and bleeding in patients undergoing intra-abdominal surgeries.
Supports routine intra-abdominal drainage to reduce leakage risk after surgery; confirms RCT benefit on multiple complications.
Objective: To compare frequency of intra-abdominal complications in drainage and non-drainage group among patents who underwent intra-abdominal surgeries. Study Design: Comparative prospective study. Place and Duration of Study: Department of Surgery, Pakistan Ordinance Factory, Wah Cantt, from Mar 2018 to Jul 2018. Methodology: There were 32 patients, 16 in each group. Patients were selected through the process of consecutive sampling. Patients were randomly divided into two groups (random number table method); group A patients underwent intra-abdominal drain while group B was non-drainage group. Patients were followed up for 7 days and observed for complications. Results: Total 32 patients were included in the study. There were 14 (43.8%) males and 18 (56.3%) females. Mean age of patients was 43.2 ± 9.5 years. Drain group showed significantly low anastomosis leakage (p=0.02), wound infection (p=0.05), mortality (p=0.04), pulmonary complications (p=0.05) and bleeding (p=0.03) as compared to the non-drain group. Conclusion: Intra-abdominal drains are associated with several complications. Anastomosis leakage is the most common complication following pulmonary complications and bleeding. However, drains help in early detection of complications and timely management of such complications leads to better outcome of a surgical procedure.
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Azhar et al. (2022) conducted an RCT in Intra-abdominal surgeries (n=32). Intra-abdominal drain vs. No drain was evaluated on Anastomosis leakage (p=0.02). Intra-abdominal drains significantly reduced the incidence of anastomosis leakage compared to no drainage (9.4% vs 31.3%, p=0.02) following intra-abdominal surgeries.
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