| Autor: |
Inoue, Mikihiro, Uchida, Keiichi, Otake, Kohei, Koike, Yuhki, Okugawa, Yoshinaga, Kobayashi, Minako, Mohri, Yasuhiko, Miki, Chikao, Kusunoki, Masato |
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| Zdroj: |
Pediatric Surgery International; Sep2011, Vol. 27 Issue 9, p975-979, 5p |
| Abstrakt: |
Purpose: The aim of this study was to determine if the placement of prophylactic drains influences the incidence of postoperative adverse events in neonates.Methods: Neonatal patients undergoing laparotomy between April 2000 and December 2007 were prospectively assigned to aggressive peritoneal cavity lavage, without the placement of prophylactic drains, before abdominal closure (non-drainage group, n = 111). The historical control group consisted of neonates who underwent laparotomy with routine prophylactic drain placement between January 1993 and March 2000 (drainage group, n = 87). The incidence of postoperative adverse events was compared between the two groups.Results: There were no significant differences in the incidence of overall complications (drainage, 48%; non-drainage, 36%: p = 0.08), infectious complications (drainage, 34%; non-drainage, 26%: p = 0.20) or surgical site infections (drainage, 20%; non-drainage, 14%: p = 0.25) between the two groups. In the subgroup analysis, the incidences of total postoperative complications and infectious complications were significantly higher in the drainage group compared with the non-drainage group for upper gastrointestinal tract operations (52 vs. 20%; 39 vs. 6.7%) (p = 0.04 and 0.02, respectively).Conclusion: Prophylactic drainage did not reduce the incidence of postoperative complications, and the placement of drains may possibly increase the incidence of infectious complications. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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