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Related Experiment Videos

Closed suction or penrose drainage after partial nephrectomy: does it matter?

Ricardo Sánchez-Ortiz1, Lydia T Madsen, David A Swanson

  • 1Department of Urology, University of Texas M. D. Anderson Cancer Center, Houston, 77030, USA.

The Journal of Urology
|December 11, 2003
PubMed
Summary

This study found no significant difference in complications or drain duration between closed suction and open passive (Penrose) drains after partial nephrectomy. Both drain types are safe and effective for managing partial nephrectomy patients.

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Area of Science:

  • Urology
  • Surgical Oncology
  • Nephrology

Background:

  • General surgery literature suggests closed suction drainage reduces wound complications compared to open passive drainage.
  • Some urologists hesitate to use closed suction drains after partial nephrectomy due to theoretical risks of prolonged urinary leak or delayed hemorrhage.

Purpose of the Study:

  • To compare the safety and efficacy of closed suction drains versus open passive (Penrose) drains following partial nephrectomy.
  • To evaluate postoperative morbidity associated with different drain types in partial nephrectomy.

Main Methods:

  • Retrospective review of 197 partial nephrectomies.
  • Comparison of closed suction and open passive (Penrose) drains based on surgeon preference.
  • Analysis of drain duration and incidence of relevant complications.

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Main Results:

  • No statistically significant difference in drain duration between Penrose (7.1 days) and closed suction (7.8 days) groups.
  • Similar rates of prolonged urinary drainage, wound infection/perinephric abscess, and delayed hemorrhage between drain types.
  • Clinical characteristics were equivalent between groups.

Conclusions:

  • Closed suction and Penrose drains demonstrate comparable safety profiles after partial nephrectomy.
  • No statistically significant differences in postoperative morbidity were observed between the two drain types.