Closed suction drains, reinfusion drains or no drains in primary total knee replacement?

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Closed suction drains, reinfusion drains or no drains in primary total knee replacement?

INTRODUCTION Controversy still surrounds the use of drains after total knee replacement (TKR). We compared closed suction drains, reinfusion drains and no drains by studying haemoglobin (Hb) levels, blood transfusion requirements and functional knee outcome scores in a single surgeon series. METHODS A total of 102 consecutive primary TKRs were performed by the senior author between September ...

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The effect of suction drains after total hip replacement.

A prospective study of 120 consecutive total hip replacements showed that deep suction drains produced maximal drainage volumes in the first 24 hours. Their continued presence resulted in minimal further drainage, did not reduce the likelihood of haematoma formation and led in some cases to the spread of skin organisms into the wound.

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Innoxious removal of suction drains.

Suction drains are commonly used in orthopedic elective and trauma surgery; however, drain tube removal causes pain, discomfort, and anxiety. A method of drain tube removal is described in patients who underwent total hip replacement and in adolescents who underwent lower extremity surgery. Ten milliliters of lidocaine was injected through the skin wound around the drain tube. The efficiency of...

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DRAPA trial – closed-suction drains versus closed gravity drains in pancreatic surgery: study protocol for a randomized controlled trial

BACKGROUND The morbidity of pancreatic resection remains high, with pancreatic fistula being the most common cause. The important question is whether any postoperative treatment adjustment may prevent the development of clinically significant postoperative pancreatic fistulae. Recent studies have shown that intraabdominal drains and manipulation using them are of great importance. Although auth...

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Necessity of suction drains in gynecomastia surgery.

BACKGROUND The aim of gynecomastia surgery is to restore a normal chest contour with minimal signs of breast surgery. OBJECTIVE The authors examine the rate of complications in gynecomastia surgery when no closed-suction drains are placed. METHODS One hundred thirty-eight consecutive male patients who underwent gynecomastia surgery without drains were retrospectively analyzed to determine w...

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ژورنال

عنوان ژورنال: The Annals of The Royal College of Surgeons of England

سال: 2012

ISSN: 0035-8843,1478-7083

DOI: 10.1308/003588412x13171221590098