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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Intraperitoneal drain placement and outcomes after elective colorectal surgery: International matched, prospective, cohort study
British Journal of Surgery, Volume 109, No. 3, Year 2022
Notification
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Description
Background: Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods: COMPASS (COMPlicAted intra-Abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results: Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P=0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P=0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P=0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P,0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P,0.001). Conclusion: Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk. © 2022 John Wiley and Sons Ltd. All rights reserved.
Authors & Co-Authors
Sgro, Alessandro
Unknown Affiliation
Blanco-Colino, R.
Unknown Affiliation
Ahmed, Waheed Ul Rahman
Unknown Affiliation
Gujjuri, Rohan R.
Unknown Affiliation
Lapolla, Pierfrancesco
Unknown Affiliation
Soares, Antonio Sampaio
Unknown Affiliation
Varghese, Chris
Unknown Affiliation
McLean, Kenneth A.
Unknown Affiliation
Chapman, Stephen J.
Unknown Affiliation
Espin-Basany, Eloy
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Pellino, Gianluca
Unknown Affiliation
Pockney, Peter G.
Unknown Affiliation
Dudi-Venkata, Nagendra N.
Unknown Affiliation
Ludbrook, Isabella
Unknown Affiliation
Raubenheimer, Kyle
Unknown Affiliation
Richards, Toby A.
Unknown Affiliation
Delibegović, Samir
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Podda, Mauro Guido
Unknown Affiliation
Riboni, Cristiana
Unknown Affiliation
Poškus, Tomas
Unknown Affiliation
Wang, Jeffrey C.
Unknown Affiliation
Wells, Cameron I.
Unknown Affiliation
van Straten, Stephanie
Unknown Affiliation
Baki, Bahadir Emre
Unknown Affiliation
Akhbari, Melika
Unknown Affiliation
Bhatia, Sanchita
Unknown Affiliation
Brown, Sarah R.
Unknown Affiliation
Cambridge, William A.
Unknown Affiliation
Kamarajah, Sivesh K.
Unknown Affiliation
Trout, Isobel M.
Unknown Affiliation
Wong, James Y.
Unknown Affiliation
Pancharatnam, Rohan Andrew
Unknown Affiliation
Hassane, Ahmed Sayed I.
Unknown Affiliation
Saeed, Diyar
Unknown Affiliation
Alsaif, Abdulaziz Abdullah
Unknown Affiliation
Foster, Katharine A.
Unknown Affiliation
Alfadhel, Saud Ali Abdullah
Unknown Affiliation
Slavchev, M.
Unknown Affiliation
Gouvas, Nikolaos
Unknown Affiliation
Papakonstantinou, Dimitrios C.
Unknown Affiliation
MacHairas, Nikolaos A.
Unknown Affiliation
Garoufalia, Zoe
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Poillucci, Gaetano
Unknown Affiliation
Perra, Teresa
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Belli, Andrea A.B.
Unknown Affiliation
Pirozzolo, Giovanni
Unknown Affiliation
Ferrara, Francesco
Unknown Affiliation
Pesce, Antonio
Unknown Affiliation
Canu, Gian Luigi
Unknown Affiliation
Sagnotta, Andrea
Unknown Affiliation
Carlei, Francesco
Unknown Affiliation
Litvin, A. A.
Unknown Affiliation
Panyko, Arpád
Unknown Affiliation
Talal El-Abur, Issa
Unknown Affiliation
Özmen, Batuhan B.
Unknown Affiliation
Tepe, Mustafa Deniz
Unknown Affiliation
Yildirim, Asif (Asıf)
Unknown Affiliation
Sadik, Hatem Azet
Unknown Affiliation
Gala, Tanzeela
Unknown Affiliation
Elsamani, Kareemaldin
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Belev, Nikolay
Unknown Affiliation
Balalis, Dimitrios
Unknown Affiliation
Porcu, Alberto
Unknown Affiliation
Delrio, Paolo
Unknown Affiliation
Restini, Enrico
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Galleano, R.
Unknown Affiliation
Borghi, Felice
Unknown Affiliation
Petrucciani, Niccoló
Unknown Affiliation
Hüscher, Cristiano Germano Sigismondo
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Medas, Fabio
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Selvaggi, Francesco Paolo
Unknown Affiliation
Karamarković, Aleksandar R.
Unknown Affiliation
Altinel, Yuksel
Unknown Affiliation
Işık, Özgen
Unknown Affiliation
Guner, Ali
Unknown Affiliation
Smolarek, Sebastian K.
Unknown Affiliation
Shaikh, Irshad Ahammed A.
Unknown Affiliation
Moug, Susan Joan
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Parmar, Chetan D.
Unknown Affiliation
Duff, Sarah Elizabeth
Unknown Affiliation
Hargest, Rachel
Unknown Affiliation
Daudu, Davina
Unknown Affiliation
Mansour, Laure Taher
Unknown Affiliation
Seow, Warren
Unknown Affiliation
Karamanliev, Martin P.
Unknown Affiliation
Kimpizi, Athina Despoina
Unknown Affiliation
Theodorou, Dimitrios A.
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Schizas, Dimitrios N.
Unknown Affiliation
Baili, Efstratia
Unknown Affiliation
Romano, Patrick S.
Unknown Affiliation
Ferrario, Luca
Unknown Affiliation
Mingoli, Andrea
Unknown Affiliation
Brachini, Gioia
Unknown Affiliation
Rossi, S.
Unknown Affiliation
Grossi, Ugo
Unknown Affiliation
Zazza, Settimio
Unknown Affiliation
Cianci, Pasquale
Unknown Affiliation
Capuzzolo, Sabino
Unknown Affiliation
Doria, Emanuele
Unknown Affiliation
Giuffrida, Mario C.
Unknown Affiliation
Borrello, Alessandro
Unknown Affiliation
Cocorullo, Gianfranco F.
Unknown Affiliation
Pisanu, Adolfo
Unknown Affiliation
Delogu, Daniele
Unknown Affiliation
Cappellacci, Federico
Unknown Affiliation
Cillara, Nicola
Unknown Affiliation
Picardi, Biagio
Unknown Affiliation
Lisi, Gabriele
Unknown Affiliation
Tanis, Pieter Job
Unknown Affiliation
Boyle, Emily M.
Unknown Affiliation
Martin, Benjamin P.
Unknown Affiliation
Gimenez-Maurel, Teresa
Unknown Affiliation
Buchwald, Pamela L.
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Demirbas, Iskender Eren
Unknown Affiliation
Williams, Colin Y.
Unknown Affiliation
Elias, Sjoerd Geert
Unknown Affiliation
Thomas, Tina
Unknown Affiliation
Hadley, Elizabeth
Unknown Affiliation
Kamdar, Mihir M.
Unknown Affiliation
Chan, Shannon Melissa
Unknown Affiliation
Sethi, Rajiv K.
Unknown Affiliation
Edwards, Adrian G.K.
Unknown Affiliation
Carmichael, A. R.
Unknown Affiliation
White, Christopher J.M.D.
Unknown Affiliation
Hunter, James M.
Unknown Affiliation
Vaselli, Natasha Marcella
Unknown Affiliation
Ashaye, Adeyinka Olusola
Unknown Affiliation
Phillips, Nicholas M.
Unknown Affiliation
Willis, Louise
Unknown Affiliation
Adefolaju, Gbenga Anthony
Unknown Affiliation
Vo, Uyen Giao
Unknown Affiliation
Tonchev, Pencho
Unknown Affiliation
Zografos, George C.
Unknown Affiliation
Statistics
Citations: 11
Authors: 146
Identifiers
Doi:
10.1093/bjs/znac069
ISSN:
00071323
Research Areas
Environmental
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative
Participants Gender
Female