BACKGROUND Total knee arthroplasty is associated with hematoma formation and extensive blood loss up to 1.5 liters. The placement of a closed suction drain to control this complication is controversial. The purpose of this study is to determine the efficacy between total knee arthroplasty without a drain and with a closed suction drain.  Methods: A retrospective cohort study was conducted betwe...

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....

STUDY DESIGN A retrospective observational study. OBJECTIVE We evaluated the prognostic value of drain tip culture performed for surgical site infection (SSI) after spinal surgery with a large number of subjects, and investigated whether the type of surgery or timing of drain removal correlated with positive drain culture and SSI rates. SUMMARY OF BACKGROUND DATA In many institutions, routi...

STUDY DESIGN Retrospective clinical study. PURPOSE To assess the diagnostic value of suction drain tip culture in patients undergoing primary posterior spine surgery. OVERVIEW OF LITERATURE To date, the diagnostic value of suction drain tip culture for predicting surgical site infection (SSI) has not been firmly established in orthopedic or spinal surgery. METHODS In total, 133 patients w...

OBJECTIVE To compare the outcomes of modified radical mastectomy wounds managed by closed wound drainage with suction and without suction. METHOD A prospective randomised trial was conducted at the University College Hospital in Ibadan, and the University of Nigeria Teaching Hospital in Enugu. Fifty women who required modified radical mastectomy for breast cancer were randomised to have close...

Background: Total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA) are effective treatments for glenohumeral arthritis and rotator cuff arthropathy. Purpose: To determine if the use of a post operative closed-suction drain following TSA and RTSA affects hemoglobin levels, clinical outcomes, and complications. Hypothesis: Patients who did not receive a drain will have l...

Objective] Recently, the effectiveness of closed wound drainage has been evaluated for various types of orthopedic surgery. Some studies showed insufficient evidence to support the routine use of a drain. In the current analysis, the efficacy of closed suction drainage in anterior spinal fusion for lumbar spinal tuberculosis was retrospectively evaluated. [Patients and Methods] Ninety-one conse...

BACKGROUND Although various reconstructive flap surgeries have been successfully performed, there still are difficult wound complications, such as seroma formation, wound margin necrosis, delayed wound healing, and even flap failures. The negative-pressure wound therapy has been described in detail in the literature to assist open chronic/complex wound closure in reconstructive surgery. However...