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No benefit when placing drains after kidney transplant: a complex statistical analysis
Ryan C Sidebottom1, Afshin Parsikia, Po-Nan Chang
1Albert Einstein Medical Center, Philadelphia, PA, USA.
Summary
Drain placement in kidney transplants does not increase the risk of wound complications. This study found no significant association between drains and major or minor wound issues in kidney transplant recipients.
Area of Science:
- Nephrology
- Transplant Surgery
- Surgical Complications
Background:
- Wound complications are a concern after kidney transplantation.
- The role of surgical drains in influencing these complications is not fully understood.
Purpose of the Study:
- To investigate the association between drain placement and the incidence of wound complications following kidney transplantation.
Main Methods:
- Retrospective study of 680 kidney transplant patients (2001-2008).
- Comparison of patients with and without drain placement.
- Analysis of early major and minor wound complications, adjusting for risk factors.
Main Results:
- Drain placement was not associated with an increased incidence of major wound complications (12.18% vs. 8.46%, P=.1655).
- No significant difference in minor wound complications was observed between drained and undrained groups (1.88% vs. 2.99%, P=.3702).
- Statistical analysis indicated drain placement had no effect on overall wound complication rates.
Conclusions:
- Surgical drain placement does not appear to increase the risk of major or minor wound complications in kidney transplant recipients.
- This finding supports current practices regarding drain use in kidney transplantation.
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