Drain or No Drain Following Pancreaticoduodenectomy: The Unsolved Dilemma

Early Drain Removal--The Middle Ground Between the Drain Versus No Drain Debate in Patients Undergoing Pancreaticoduodenectomy: A Prospective Validation Study.

OBJECTIVE To perform an unbiased assessment of first postoperative day (POD 1) drain amylase level and pancreatic fistula (PF) after pancreaticoduodenectomy (PD). BACKGROUND Recent evidence demonstrated that drain abandonment in PD is unsafe. Early drain amylase levels have been proposed as predictors of PF after PD, allowing for selection of patients for early drain removal. METHODS Daily ...

Short duration and low suction pressure drain versus no drain following total knee replacement.

PURPOSE To compare the short-term outcome in patients with or without a drain (short duration and low suction pressure) following total knee replacement (TKR). METHODS A consecutive series of 106 women and 48 men (mean age, 69 years) underwent unilateral TKR. The first 77 patients used a low suction pressure (200 mm Hg) drain following TKR for 24 hours, and the next 77 patients used no drain....

Liver Resection: To Drain or not to Drain?

Purpose: A prospective, randomized trial was performed to determine if intra-abdominal drainage catheters are necessary after elective liver resection.

Laparoscopy in Acute Cholecystitis: To Drain or Not to Drain

Introduction: Regarding cholecystectomy for acute cholecystitis, there is still debate regarding drain insertion. The aim of the present study was to detect if there is a beneficial added value to drain the abdomen in case of laparoscopic cholecystectomy for acute cholecystitis. Patients and Methods: A total of 120 patients diagnosed having acute cholecystitis were enrolled to this study and we...

To drain or not to drain in perforated peptic ulcer