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Related Experiment Videos

[Drains in trauma surgery].

M Jagodzinski1, C Krettek

  • 1Unfallchirurgische Klinik, Medizinische Hochschule Hannover. jagodzinski.michael@mh-hannover.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|February 25, 2003
PubMed
Summary
This summary is machine-generated.

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Closed suction drains offer no long-term benefits in aseptic orthopedic surgery and may increase infection risk. Evidence-based practice suggests limiting their use, but surgeon acceptance remains low.

Area of Science:

  • Orthopedic Surgery
  • Surgical Drainage
  • Evidence-Based Medicine

Context:

  • Closed suction drains are frequently employed after orthopedic procedures.
  • Historically, their use was based on empirical recommendations, but recent decades have seen numerous randomized controlled trials.
  • This review synthesizes findings from prospective randomized studies on drain efficacy.

Purpose:

  • To critically evaluate the effectiveness of closed suction drains in orthopedic surgery.
  • To compare outcomes from prospective randomized studies regarding drain use.
  • To assess the impact of drains on long-term results and complication rates.

Summary:

  • Numerous studies demonstrate no positive effect of suction drains on long-term outcomes in aseptic orthopedic surgery.

Related Experiment Videos

  • This finding applies to various procedures, including endoprosthetic surgery and bone grafting.
  • Some evidence indicates a higher incidence of septic complications in patients with suction drains.
  • Impact:

    • Evidence-based surgical practice necessitates a critical approach to prescribing suction drains.
    • Despite strong evidence, surgeon adoption of these findings is currently very limited.
    • Highlights a gap between research evidence and clinical practice in orthopedic surgery.