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Wound drains in posterior spinal surgery: a meta-analysis
Yancheng Liu1, Yaomin Li2, Jun Miao3
1Department of Spine Surgery, Tianjin Hospital, Tianjin, 300211, People's Republic of China.
Journal of Orthopaedic Surgery and Research
|January 24, 2016
Summary
This meta-analysis found no significant benefits of using closed suction drains in posterior spinal surgery. However, fewer patients experienced saturated dressings when drains were used, suggesting a potential benefit in wound management.
Area of Science:
- Spine Surgery
- Surgical Drainage Systems
Background:
- The necessity of drains after posterior spinal surgery remains debated.
- This meta-analysis evaluates the benefits and risks of closed suction drainage.
Purpose of the Study:
- To systematically review the efficacy and safety of closed suction drains in posterior spinal surgery.
- To compare outcomes between patients with and without drainage systems.
Main Methods:
- Conducted a meta-analysis of randomized and non-randomized controlled trials.
- Searched major databases including PubMed, Medicine, and Embase.
- Analyzed data using RevMan software, adhering to Cochrane systematic review standards.
Main Results:
- No significant differences in wound infection, hematoma, neurological injury, or blood loss were observed.
- Patients in the no-drainage group had a higher incidence of saturated dressings (P = 0.002).
Conclusions:
- Current evidence does not strongly support the routine use of closed suction drains in posterior spinal surgery.
- Further high-quality randomized controlled trials with larger sample sizes are needed.
