Research Article
Volume 4 Issue 3 - 2021
The Sojourn Drain Effects on Tissue Healing in Postoperative Patients
Rahul Anil Sethi1*, GF Avetisyan2, Sanobar Shariff3 and Burhan Kantawala3
1Consultant Physician on Panel, Embassy of India in Armenia, Head of Department, International Students’ Affairs, Assistant Teaching, Operative Surgery and Topographical Anatomy Department, Visiting Faculty, Faculty of Public Health, Yerevan Sate Medical University, Yerevan, Armenia
2Dean, International Students, Associate Professor, Operative Surgery and Topographical Anatomy Department, Yerevan Sate Medical University, Yerevan, Armenia
34th General Medicine Faculty Student, Yerevan Sate Medical University, Yerevan, Arme
*Corresponding Author: Rahul Anil Sethi, Consultant Physician on Panel, Embassy of India in Armenia, Head of Department, International Students’ Affairs, Assistant Teaching, Operative Surgery and Topographical Anatomy Department, Visiting Faculty, Faculty of Public Health, Yerevan Sate Medical University, Yerevan, Armenia.
Received: February 24, 2021; Published: February 26, 2021




Abstract

Introduction: Implants allowing removal of fluid and/or gas from a wound or body cavity are called Surgical Drains. These surgical drains are commonly used generally in thoracic or abdominal surgery to minimize the post-operative complications like infection and hematoma. These are of various types but in our research here we have focused on passive drains made of latex, polypropylene or silastic rubber. The aim of this study was to determine the incidence of post-operative complications and its effect on tissue healing while draining in situ.

Background: The use of surgical drains is common in all types of surgeries and seldom we take efforts to know the origin and their positive or negative effects of these critical devices. The first ever recorded historical evidence for surgical drains were found in the era of Hippocrates (circa 460-377 BC). The Greek Physician Hippocrates used hollow tubes for the treatment of empyema. Negative suction drains are considered the standard of practice in head and neck surgery. Claudius Galen in 200 B.C., whose teachings were held infallible for the next 1500 years, described tubes for the management of ascites. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity. It is felt now that drains may hinder recovery by acting as an 'anchor' limiting mobility post-surgery and the drain itself may allow infection into the wound. But in certain situations their use is unavoidable. Hence, this study was important to understand their positive and negative effects in real practice.

Patients and Methods: The medical records of 33 adult patients {aged > 18 and < 89} of the surgical department at various hospitals across Yerevan, who had been operated on an acute abdominal process, Armenia were reviewed. We identified 100% of patients taken as a part of this study who had a post-operative drain. Patient demographics, comorbidities, pre- and post-operative complication rates were collected for each patient. The primary outcome focused in this study was the rate of post-operative complications involved with drains especially the tissue healing was mainly focused.

A complication associated with the postoperative period was defined as any event required medical or surgical intervention within 30 days of undergoing initial surgery and that was denoted as the end point of this study. Operating time was denoted from the time or the first incision until the last suture was put. The number of days the drain stayed in the body was denoted by the time the drain was inserted at the end or during the surgical procedure until the time it was completely removed at the post-operative period.

Results: 2 out of 33 patients developed a complication associated with the drainage tube. The rest of the 31 patients as a part of the study did not develop any issues with the tissue healing in the post-operative period and were all healthy recoveries. Statistically speaking, this leaves us with a percentage of 6.06% complication rate associated with these drains used.

Conclusion: Our study suggests that the use of postoperative drains in patients who underwent acute abdominal surgery with either the open approach or laparoscopic approach does lead to a no serious postoperative complication with complication-free rate of 93.94%. Its further aids in the tissue healing by giving an idea the type of process going on in the body post-surgically.

Keywords: Sojourn Drain Effects; Tissue Healing; Postoperative Patients

References

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Citation: Rahul Anil Sethi., et al. “The Sojourn Drain Effects on Tissue Healing in Postoperative Patients”. EC Clinical and Experimental Anatomy 4.3 (2021): 27-33.

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