Long-term Sequelae of Patients With Retained Drains in Spine Surgery
| Autor: | Fadi Taher, Elizabeth B. Gausden, Alexander P. Hughes, Andrew A. Sama, Frank P. Cammisa, Matthias Pumberger |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Asymptomatic Spine surgery Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine Single institution Aged Billing system business.industry Background data Soft tissue Middle Aged Spine Surgery Child Preschool Drainage Neurology (clinical) Drain removal medicine.symptom business Complication |
| Zdroj: | Journal of Spinal Disorders & Techniques. 28:37-39 |
| ISSN: | 1536-0652 |
| Popis: | Study Design: Case series.Objective: To assess sequelae of retained surgical drains in pa-tients undergoing spine surgery.Summary of Background Data: Although a rare event, surgicaldrains may break either before or during removal attempts. Incases of retained surgical drains, the patient and surgeon are leftwith a decision of either surgically removing the drain fragment,or leaving it in situ. There is a paucity of literature that pertainsto this unusual complication of spine surgery and its effect onlong-term outcome.Methods: Cases of retained drain fragments that occurred at thespine service of a single institution between January 1, 1990 andDecember 31, 2008 were identified using the institutional elec-tronic billing system, International Classification of Diseasesand Related Health Problems-9 codes, and surgeons’ records.Results: Seven cases of retained drains were identified to haveoccurred during the study period. Five of the patients underwent asubsequent operation for drain removal without complications,whereas 2 patients elected toleave the drain insitu. Ata minimumof 2-year follow-up, neither of the patients in which the drainfragment had been left in situ reported complications or sequelaerelated to the drain fragment, and radiographic imaging showedno distinct migration of the fragment within the soft tissue.Conclusions: The 2 reported cases with a retained drain fragmentleft in situ support published and anecdotal opinions on retainedsoft-tissue drains not adversely affecting long-term patient out-come. In cases of asymptomatic patients with retained drainswithin soft tissue, leaving the fragment in situ is a treatmentoption that deserves consideration.Key Words: drains, complications, spine surgery(J Spinal Disord Tech 2015;28:37–39) |
| Databáze: | OpenAIRE |
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