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Related Concept Videos

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Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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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.
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Dec 11, 2025

Sleeve Gastrectomy in Mice using Surgical Clips
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Drain Placement During Bariatric Surgery, Helpful or Harmful?

Edward C Gray1, Fakhry Dawoud1, Meredith Janelle1

  • 14154 Department of Surgery, East Tennessee State University - Quillen College of Medicine, Mountain Home, TN, USA.

The American Surgeon
|August 25, 2020
PubMed
Summary

Routine drain use in bariatric surgery, including sleeve gastrectomy and gastric bypass, is associated with higher complication rates. Evidence suggests drains increase surgical site infections and reoperations, questioning their routine necessity.

Keywords:
bariatric surgerygastrointestinal leakoperative drain placement complications

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Area of Science:

  • Bariatric Surgery
  • Surgical Complications
  • Medical Device Effectiveness

Background:

  • Routine drain placement is common in sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (REYGB).
  • Emerging evidence suggests drains may elevate complication risks without proven benefits in preventing reoperation.

Purpose of the Study:

  • To evaluate the association between drain placement and postoperative complications in bariatric surgery.
  • To determine if drain use in SG and REYGB impacts surgical site infections, reoperations, or readmissions.

Main Methods:

  • Analysis of 2017 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data.
  • Comparison of outcomes (surgical site infections, reintervention, readmission) between patients with and without surgical drains.
  • Assessment of preoperative risk factors associated with drain placement.

Main Results:

  • Drain placement in 15.6% of 148,260 bariatric surgeries was linked to increased odds of superficial, deep incisional, and organ space surgical site infections.
  • Patients with drains had higher odds of requiring reoperation or intervention within 30 days.
  • Diabetes, COPD, and oxygen dependence were associated with higher drain placement rates.

Conclusions:

  • Retrospective data increasingly indicate that drains may increase complications following bariatric surgery.
  • The routine use of drains in SG and REYGB is not supported by current evidence, despite a lack of prospective trials.
  • Further investigation into drainless bariatric procedures is warranted to optimize patient outcomes.