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Surgical Drains Do Not Decrease Complication Rates But Are Associated with a Reduced Need for Imaging After Kidney

Sertac Cimen1, Sanem Guler1, Karthik Tennankore2

  • 1Department of Surgery, Dalhousie University, Halifax, NS, Canada.

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PubMed
Summary
This summary is machine-generated.

Intraoperative drain placement after kidney transplantation did not significantly reduce wound complications or clinically significant perigraft collections. However, drains may lower transplant costs by reducing the need for imaging to diagnose collections.

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Surgical Complications

Background:

  • Perigraft collections and wound complications are frequent after kidney transplantation.
  • The study investigated the impact of intraoperative drain placement on these post-transplant complications.

Purpose of the Study:

  • To evaluate whether intraoperative drain placement influences the risk of perigraft collections and wound complications following kidney transplantation.
  • To assess the association between drain use and the need for imaging and subsequent interventions.

Main Methods:

  • Adult kidney transplant recipients from January 2006 to December 2014 were analyzed.
  • Data on drain presence, imaging, and complications were collected.
  • Logistic regression was used to analyze the effect of drains on outcomes, adjusting for baseline characteristics.

Main Results:

  • Drain placement was associated with a lower rate of perigraft collections (OR 0.62, p=0.011) but not wound complications (OR 0.67, p=0.096).
  • Fewer patients with drains required imaging for perigraft collections (40% vs 60%).
  • The rate of subsequent interventions for complications was similar between groups.

Conclusions:

  • Intraoperative drain placement does not significantly reduce wound complications or clinically significant perigraft collections after kidney transplant.
  • Drain use may decrease the need for diagnostic imaging, potentially reducing healthcare costs.
  • The findings suggest a nuanced role for drains in kidney transplantation, primarily impacting diagnostic workup rather than complication rates.