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Why use drains?

J P Cobb1

  • 1Middlesex Hospital, England.

The Journal of Bone and Joint Surgery. British Volume
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Closed suction drains lack evidence for wound healing benefits. Historical and recent studies indicate drains may increase infection risk and complications, questioning their routine use in surgical recovery.

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Area of Science:

  • Surgical outcomes
  • Wound healing research
  • Infection control in surgery

Background:

  • Historically, drains were suspected risk factors for wound infection based on large studies.
  • Existing literature lacks robust evidence supporting the routine use of closed suction drains.

Purpose of the Study:

  • To evaluate the efficacy of closed suction drains in improving wound healing after hip fracture surgery.
  • To assess the complication rates associated with drain use in this patient population.

Main Methods:

  • A prospective randomized study was conducted.
  • The study involved 70 patients undergoing surgery for fractured neck of femur.
  • Outcomes measured included wound healing and complication incidence.

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Main Results:

  • Closed suction drains did not demonstrate improved wound healing.
  • Patients with drains experienced a higher incidence of complications.
  • No firm published evidence supports the use of these drains.

Conclusions:

  • The use of closed suction drains after fractured neck of femur surgery is not supported by this study.
  • Drains may be associated with increased complications, warranting reconsideration of their routine application.