Value of Drains in Soft-Tissue Tumour Surgery: A Specialist Regional Centre Experience.

Autor:	El-Omar O; The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, GBR., Akbani U; The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, GBR., Abdelrahman A; The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, GBR., Akbari AR; Obstetrics and Gynaecology, King's Mill Hospital, Mansfield, GBR., Said UN; Trauma & Orthopaedics, Huddersfield Royal Infirmary, Huddersfield, GBR., Ismail OM; Trauma & Orthopaedics, Royal Lancaster Infirmary, Lancaster, GBR., Butaliu C; The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, GBR., Paul AS; The Regional Sarcoma Centre, Manchester Royal Infirmary, Manchester, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Dec 06; Vol. 14 (12), pp. e32259. Date of Electronic Publication: 2022 Dec 06 (Print Publication: 2022).
DOI:	10.7759/cureus.32259
Abstrakt:	Background The mainstay of therapy in most soft-tissue tumours (STTs) is excision. However, this often results in blood/extracellular fluid collection within large dead spaces necessitating the use of surgical drains. Whether meticulous attention to haemostasis, careful closure of dead space, and use of compression bandage obviates the need for drains was investigated. This study aimed to compare postoperative outcomes in patients undergoing surgery for STTs with and without the use of drains. Methodology A retrospective analysis of patients undergoing STT surgery over five years was undertaken using a regional STT specialist service database. Patients were stratified into the following two groups: compression bandage alone (CB) versus compression bandage with drain (CBD). The chi-square test was used to examine associations with infection, seroma, and haematoma, while the unpaired t-test was used for associations with hospital stay and time to wound healing. The unpaired t-test with Bonferroni correction was used to account for tumour dimensions across both groups. Results A total of 81 CB and 25 CBD patients were included. The mean hospital stay was significantly lower in CB compared to CBD (4.9 days, SD = 8.574 vs. 9.8 days, SD = 7.647, p = 0.0125). None of the other variables was significantly different between the two groups, including infection (21.3% vs. 24.0%, p = 0.7804), seroma (25.0% vs. 36.0%, p = 0.2865), haematoma (0.026% vs. 2.0%, p = 0.2325), and time to wound healing (55.8 days, SD = 63.59 vs. 42.3 days, SD = 58.88, p = 0.3648). Conclusions Our findings suggest that the use of drains in patients undergoing STT tumour surgery lengthens hospital stay without reducing the incidence of postoperative complications/time to wound healing. A larger, prospective trial is needed. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, El-Omar et al.)
Databáze:	MEDLINE
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