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The current status of peritoneal drainage
1Quality Assurance Department of Surgery, King Fahd Hospital of the University, AL-Khobar, Saudi Arabia.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|April 1, 1991
Summary
Physicians are reluctant to change practice. For cholecystectomy, drains are usually unnecessary but if used, should be suction type removed within 48 hours. Peritoneal drainage is selective for generalized peritonitis but not needed after appendicectomy, colonic anastomosis, or splenectomy.
Area of Science:
- Surgical practice and clinical decision-making
- Gastrointestinal surgery outcomes
Background:
- Physician adherence to established clinical practices can be a barrier to adopting new evidence-based guidelines.
- The necessity and optimal use of peritoneal drainage in various surgical procedures remain a topic of clinical debate.
Purpose of the Study:
- To provide a pragmatic approach to peritoneal drainage in surgical practice, balancing evidence with physician acceptance.
- To guide the selective use of drains following specific gastrointestinal surgeries.
Main Methods:
- The abstract does not specify methods, but discusses clinical practice recommendations based on surgical outcomes.
- Focuses on common procedures like cholecystectomy, appendicectomy, colonic anastomosis, and splenectomy.
Main Results:
- Peritoneal drainage is generally not necessary for simple cholecystectomy.
- If drainage is employed for cholecystectomy, suction drains removed within 48 hours are recommended.
- Peritoneal drainage can be safely omitted in most cases of appendicectomy, colonic anastomosis, and splenectomy, but may be selectively used for generalized peritonitis.
Conclusions:
- A modified approach to peritoneal drainage can be adopted for cholecystectomy, improving physician compliance.
- Selective omission of drains is safe and effective for several common abdominal surgeries, reducing unnecessary interventions.