COMPARISON OF ABDOMINAL DRAINS WITH RESPECT TO EMERGENCY AND ELECTIVE GASTROINTESTINAL SURGERY

Dr Sachin S. Balwantkar; Dr Harish Khade; Dr. Omkar Sahindrakar; Dr. Advait A. Vaidya

Volume : VII, Issue : IX, September - 2018

COMPARISON OF ABDOMINAL DRAINS WITH RESPECT TO EMERGENCY AND ELECTIVE GASTROINTESTINAL SURGERY

Dr Sachin S. Balwantkar, Dr Harish Khade, Dr. Omkar Sahindrakar, Dr. Advait A. Vaidya

Abstract :

Aims and objectives:To study the ability of the drains to alert the surgeon to an impending or developing any intra-abdominal complication. The impact of the number of drains on the length of post-operative hospital stay, andto study the drain-related morbidity and conclude if intraabdominal drains have benefit in affecting the eventual outcome of the patient.

Material and methods: Patients undergoing major GastroIntestinal surgery at Sassoon General Hospital between May 2016-Sept 2018 were included in the study. Exclusion criteria :Short gastrointestinal surgeries such as (appendicectomy,laproscopiccholecystectomy,umbilical hernia (defect less than 2cm) etc. Seropositive patients since immunocompromised status can affect the outcomes and cause confounding. Patients were analysed for parameters like age, sex, pathology, active or emergent nature of disease and length of surgery. Number of abdominal drains placed alongwithevidence of leak like change in quantity and color of drain output were recorderd for all patients. Post operative, the patients with drains were divided into two group4s – One with drains removed at post operative day and other with drains removed just prior to discharged after patient has tolerated diet.

Results: Total of 60 patients were analysed during the period of study. 34 patientswere male and 26 were female. All patients were between age group of 18-80 years. Around 48Patients were between 48-68 years of age. Leak was seen in 12 out of 60 Patients (20%). Indication of leak was seen only in 3 patients which was not statistically significant.

Conclusion : We thus conclude that use of intraabdominal drains was not v4benefical for identification of intrabdominal leak even in pateints withwhere drain was kept persistently beyond 5 days. Passing of motion or tolerating of diet was not a criteria affecting removal of drain. Abdominal drains lead to constant post operative pain which affected mobility and ventilatoryexcercises.