Sequential drain amylase to guide drain removal following pancreatectomy

Criteria for drain removal following liver resection.

BACKGROUND Abdominal drains have been placed prophylactically and removed in liver resection without robust evidence. The present study was designed to establish the optimal time for removal of such drains. METHODS Data on abdominal prophylactic drains were analysed in a consecutive series of patients who underwent liver resection for malignancy between 2006 and 2009. Bilirubin levels in drai...

Drain Amylase on the First Postoperative Day of Whipple Surgery: What Value Is the Best Predictor for Early Drain Removal?

BACKGROUND The value of drain amylase on the first postoperative day after pancreatic resections has been described as an efficient predictor of pancreatic fistula. In spite of this, the cut-off point below which the drains can be removed early remains controversial. AIM Validate the use of the amylase on the 1st postoperative day in the correlation with pancreatic fistula and define the valu...

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