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Updated: Jan 28, 2026
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Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
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[Drainages in abdominal surgery: (in)dispensable?]
B Globke1, M Schmelzle1, M Bahra1
1Chirurgische Klinik, Campus Charité Mitte | Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Summary
Routine prophylactic intraperitoneal drains are not recommended in most elective abdominal surgeries like cholecystectomy, colorectal, and gastrectomy. Further research is needed for pancreatic and liver resections to confirm drain necessity.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Clinical Trials
Background:
- The prophylactic use of intraperitoneal drains in elective abdominal surgery remains a topic of debate.
- Current evidence is being evaluated to determine if routine drain placement can be discontinued.
Purpose of the Study:
- To assess if existing data support abandoning the routine placement of abdominal drains in elective surgeries.
- To synthesize evidence regarding drain use in specific abdominal procedures.
Main Methods:
- Systematic literature search of MEDLINE, PubMed, and Cochrane Library for clinical trials on routine drain placement.
- Evidence review focused on cholecystectomy, colorectal surgery, gastrectomy, pancreatic surgery, and liver resection.
- Inclusion of 6 Cochrane reviews (65 RCTs, 9 retrospective analyses) and recent additional studies.
Main Results:
- Evidence suggests routine drains are unnecessary for cholecystectomy, colorectal resection, and gastrectomy.
- Emerging data indicate routine drains may not be mandatory for certain pancreatic and liver resections.
- The reviewed studies encompass a significant number of randomized controlled trials and retrospective analyses.
Conclusions:
- Routine prophylactic drain placement is not supported by current evidence for several elective abdominal surgeries.
- Further prospective randomized controlled trials are necessary to solidify recommendations, particularly for pancreatic and liver resections.
- The findings suggest a shift away from routine drain use towards more selective application in abdominal surgery.
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