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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Related Experiment Video

Updated: May 21, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Drain vs No Drain After Colorectal Surgery.

Shingo Tsujinaka1, Fumio Konishi

  • 1Department of Surgery, Jichi Medical University Saitama Medical Center, 1-847 Amanumacho, Omiya, Saitama-shi, Saitama, 330-8503 Japan.

Indian Journal of Surgical Oncology
|June 14, 2012
PubMed
Summary

In colorectal surgery, drains are debated. While some studies show no benefit or increased risk, others suggest drains may reduce anastomotic failure after rectal cancer surgery.

Keywords:
Anastomotic leakColorectal cancerColorectal surgeryDrainDrainageRisk factor

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The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
07:51

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

Published on: November 4, 2010

Related Experiment Videos

Last Updated: May 21, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
07:51

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

Published on: November 4, 2010

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Drains in colorectal surgery aim to prevent complications like hematoma, fluid collection, or abscesses.
  • Meta-analyses question routine drain use, citing lack of demonstrated benefit in reducing anastomotic leak rates or serving as a warning function.
  • Some evidence suggests drains may be an independent risk factor for anastomotic complications.

Purpose of the Study:

  • To review the current literature on the use of drains in colorectal surgery.
  • To discuss the controversial role of drains, particularly after total mesorectal excision (TME) for rectal cancer.
  • To highlight key considerations for surgeons regarding drain use, including purpose, characteristics, application, outcomes, and complications.

Main Methods:

  • Systematic review of published data on drain use in colorectal surgery.
  • Analysis of evidence regarding drain efficacy, risks, and benefits.
  • Discussion of evolving concepts in drain technology and application.

Main Results:

  • Meta-analyses indicate routine drainage offers no significant benefit in reducing anastomotic leak rates or serving as a warning sign.
  • Contrasting findings exist, with some studies suggesting drains may decrease anastomotic failure and re-intervention rates after TME.
  • Drain use can be associated with complications, and prolonged drainage duration is discouraged.

Conclusions:

  • The use of drains in colorectal surgery remains controversial, with decisions often based on surgeon preference.
  • Surgeons must be knowledgeable about drain purposes, types, application, and potential complications.
  • Emerging concepts focus on drains as diagnostic tools and preventive devices against anastomotic leaks.