Comparison between gravity drainage group and suction drainage group after cervical laminoplasty: a retrospective STROBE-compliant cohort study

2021 ◽  
pp. 1-4
Author(s):  
Juncheng Lu ◽  
Fulin Guan ◽  
Zhizhuang Zhang ◽  
Qichang Gao ◽  
Qingsong Li ◽  
...  
Keyword(s):  
Cohort Study ◽  
Gravity Drainage ◽  
Cervical Laminoplasty ◽  
Suction Drainage ◽  
Drainage Group

scholarly journals Comparison between Natural Drainage Group and Negative Drainage Group after Cervical Laminoplasty: A retrospective STROBE-compliant cohort study

2019 ◽  
Author(s):  
Fulin Guan ◽  
Hongna Yin ◽  
Lin Zhu ◽  
Zhizhuang Zhang ◽  
Qichang Gao ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cervical Laminoplasty ◽  
Drainage Group

Abstract The authors have withdrawn this preprint from Research Square

scholarly journals Clinical Analysis of Suction Drainage in Cementless Hip Replacement: A Prospective Randomised Study

2020 ◽  
Author(s):  
Pawel Bartosz ◽  
Wojciech Marczynski ◽  
Marcin Para ◽  
Maciej Kogut ◽  
Jerzy Białecki
Keyword(s):  
Hip Replacement ◽  
Joint Infection ◽  
Hip Osteoarthritis ◽  
Inclusion Criteria ◽  
Suction Drainage ◽  
Exclusion Criteria ◽  
Randomised Study ◽  
Group 5 ◽  
Drainage Group ◽  
Prospective Randomised Study

Abstract Background: Several studies have suggested that the use of drains did not improve surgical outcomes after hip replacement. There is still a lack of strict recommendations for drainage use.Methods: Prospective, randomised study was performed. The analysis included 100 patients. Inclusion criteria: idiopathic hip osteoarthritis. Exclusion criteria: secondary coxarthrosis, autoimmune disease, coagulopathy, venous/arterial thrombosis, hepatic/renal insufficiency, cement, or hybrid endoprostheses. Results: We found smaller haematomas in the no-drainage group (9.76 mm vs. 10.33 mm, p = 0.653). The visual analogue scale score was lower in the no-drainage group (5 vs. 6). Less bloodloss in the no-drainage group (1,124 ml vs 1,224 ml, p = 0.59). Two patients had a deep joint infection in the no-drainage group, none in the drainage group.Conclusion: It is noteworthy that two cases of early infections were observed in the no-drainage group, whereas there were no such complications in the drainage group. Further research is warranted to validate our findings.Trial registration: The study was successfully retrospectively registered in Clinicaltrial.gov with identification number: NCT04333264 (03/04/2020). https://clinicaltrials.gov/ct2/show/NCT04333264?term=NCT04333264&draw=2&rank=1

Comparison between Natural Drainage Group and Negative Drainage Group after Cervical Laminoplasty: A retrospective STROBE-compliant cohort study

2019 ◽  
Author(s):  
Fulin Guan ◽  
Hongna Yin ◽  
Lin Zhu ◽  
Zhizhuang Zhang ◽  
Qichang Gao ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Negative Pressure ◽  
Cervical Laminoplasty ◽  
Negative Group ◽  
Natural Group ◽  
Drainage Volume ◽  
Number Of Patients ◽  
Significant Difference ◽  
Basic Characteristics ◽  
Drainage Group

Abstract Background. A retrospective study was conducted to compare natural drainage and negative drainage after cervical laminoplasty. Methods. 593 patients who underwent laminoplasty between January 2011 and December 2017 were engaged in this analysis. We investigated the patients’ basic characteristics, drainage characteristics and postoperative complications.Results. During the first 24 hours after laminoplasty, the drainage volume in the negative pressure drainage group was 175.69±92.02 mL, and the drainage volume in the natural drainage group was 133.33±92.40 mL. The drainage volume showed significant difference (p<0.01) between the two groups. The total drainage volume was 361.37±163.31mL and 250.16±27.44mL in the negative pressure drainage group and natural drainage group respectively. The total drainage volume between the two groups was statistically different (p=0.03). The postoperative Hb was significantly different between the natural group and negative group on the first day after the operation (108.37±23.92 mL vs. 76.33±21.25 mL, p=0.01). The number of patients required blood transfusion showed significantly different between the two groups as well (p<0.01). 3 out of which occurred symptomatic epidural hematoma (SEH) after laminoplaty. However, the occurrence of SEH among the two groups was not different significantly. 15 patients occurred surgical site infection (SSI). Of these 15 patients, 9 patients applied natural drainage and 6 patients applied negative drainage. The rate of SSI was similar between the two groups (P=0.83).Conclusion. The initial 24 hours’ drainage volume and the total drainage volume increased significantly in the negative pressure drainage group. The postoperative Hb was lower in the negative group than the natural drainage group the first postoperative day. More patients needed blood transfusion if negative drainage were performed. The application of negative drainage cannot decrease the incidence of SSI and SEH after laminoplasty. Natural drainage is recommended in the laminoplasty.

scholarly journals A Prospective Cohort Study of Outcome In Total Knee Arthroplasty With Or Without Drainage At Dr. Hasan Sadikin General Hospital From January 2017 To January 2018

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0010
Author(s):  
R.M.S.N Magetsari ◽  
D Mulyadi ◽  
F.A Tandjung
Keyword(s):  
Total Knee Arthroplasty ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Knee Arthroplasty ◽  
Prospective Cohort ◽  
Womac Score ◽  
P Value ◽  
Postoperative Drainage ◽  
Total Knee ◽  
Drainage Group

The use of postoperative drainage after total knee arthroplasty (TKA) in osteoarthritis patients was believed effective in decreasing hematoma, swelling, infection, and postoperative pain. However, the drainage can also cause infection due to retrograde migration of bacteria and impair early postoperative rehabilitation. The aim of the study was to compare pain intensity (VAS), hemoglobin level (Hb), range of motion (ROM), clinical results (KSS and WOMAC) in TKA patients with and without postoperative drainage. This study was a prospective cohort study with samples of 98 patients at Dr. Hasan Sadikin Hospital from January 2017-January 2018. Simple random sampling with closed envelopes was used to determine TKA patients who undergone postoperative drainage and without drainage. The drainage group (K1) was 46 knees, the without drainage group (K2) was 52 knees. Both groups were compared based on VAS, Hb, ROM, KSS and WOMAC score on preoperative, 1st, 3rd, 5th day, 1st, 6th month, and 1 year postoperative. VAS score on K1 group showed better results (3rd day VAS K2 1.77; K1 1.32; p-value 0.070; 5th day K2 1.46; K1 1.22; p-value 0.090; p-value < 0.1). Based on postoperative Hb, K2 group was better (K2: 11.74;K1: 10.835; p-value 0.06). ROM on K2 is better than K1 (1st day ROM K2 52.50; K1 42.85; p-value 0.64;3rd day K2 53.70; K1 47.24; p-value 0.832; 5th day K2 54, 60; K1 45.85; p-value 0.73). Based on the KSS and WOMAC score there were no significant differences between K2 and K1. Our study concluded that there are several advantages for not using drainage after TKA in terms Hb, ROM on 1st, 3rd, and 5th day postoperative and early mobilization with weight bearing using walker at 3rd day postoperative. There is no rationale for the use of drain after primary TKA.

scholarly journals A prospective clinical trial on comparison of thyroidectomy done with or without drain

2019 ◽  
Vol 6 (4) ◽  
pp. 1172
Author(s):  
Rajan V. K.
Keyword(s):  
Clinical Trial ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Thyroid Surgery ◽  
Length Of Hospital Stay ◽  
Hospital Patient ◽  
Suction Drainage ◽  
Routine Procedure ◽  
Group D ◽  
Drainage Group

Background: The practice of using the drain in thyroidectomy is common to avoid complications like a hematoma. Many surgeons use drain following thyroid surgery with an intention to evacuate the collected serum and blood. Objective was to evaluate the necessity of routine drainage and advantages in thyroidectomy.Methods: Prospective, non-randomized clinical trial was conducted for a duration of 1 year in 60 patients attended hospital. Patient were divided into two groups (Group WD and Group D). Epi-info version 7.0 was used for analysis. P<0.05 is considered statistically significant.Results: As seen the surgery was common in females which was significant (p<0.05) with the average age of 44 years in patients treated without drain while 42 years with drain. The most common diagnostic indication was found to be thyroid nodule. length of stay in hospital was less in patients were surgery was done with drain (2 days) (p<0.05).Conclusions: Significant reduction in length of hospital stay in drainage group compared to non-drainage group. So suction drainage should be done as a routine procedure.

scholarly journals Comparative study of suction drainage placement in cementless hip replacement among patients undergoing extended thromboprophylaxis: a prospective randomized study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Paweł Bartosz ◽  
Wojciech Marczyński ◽  
Marcin Para ◽  
Maciej Kogut ◽  
Jerzy Białecki
Keyword(s):  
Hip Replacement ◽  
Randomized Study ◽  
Fluid Collection ◽  
Mean Difference ◽  
Prospective Randomized Study ◽  
Safe Procedure ◽  
Suction Drainage ◽  
Estimated Blood Loss ◽  
Primary Hip Replacement ◽  
Drainage Group

Abstract Background The use of drains reportedly does not improve surgical outcomes after hip replacement. There is still a lack of strict recommendations for drain placement after primary hip replacement. This study aimed to assess the safety of not using suction drainage after primary hip replacement in a population of patients undergoing extended thromboprophylaxis. Methods In this prospective randomized study, all patients were qualified for primary hip replacement and were divided into two groups: with and without drainage. The inclusion criterion was idiopathic hip osteoarthritis. The exclusion criteria were secondary coxarthrosis, autoimmune disease, coagulopathy, venous/arterial thrombosis, hepatic/renal insufficiency, cement, or hybrid endoprostheses. We performed an intention-to-treat analysis. Clinical, laboratory, and radiographic parameters were measured for the first three days after surgery. Hematoma collection, due to extended thromboprophylaxis, in the joint and soft tissues was evaluated precisely. The patients underwent follow-up for 30 days. Results The final analysis included a total of 100 patients. We did not find any significant statistical differences between groups in terms of hip fluid collection (9.76 vs. 10.33 mm, with and without drainage, respectively; mean difference, 0.6 mm; 95 % confidence interval [CI] -2.8 to 3.9; p = 0.653), estimated blood loss (1126 vs. 1224 ml; mean difference, 97.1 ml; 95 % CI -84.1 to 278.2; p = 0.59), and hemoglobin levels on postoperative day 3 (11.05 vs. 10.85 g/dl; mean difference, 0.2; 95 % CI -2.1 to 2.5; p = 0.53). In addition, the other parameters did not show significant differences between groups. Notably, two cases of early infections were observed in the no-drainage group, whereas there were no such complications in the drainage group. Conclusions We conclude that the use of closed suction drainage after primary hip replacement is a safe procedure in patients undergoing extended thromboprophylaxis. Further research is warranted to validate these findings. Trial registration The study was successfully registered retrospectively at Clinicaltrial.gov with the identification number NCT04333264 03 April 2020.

Natural history of helicobacter pylori infection from infancy to adulthood: A 21-year follow-up cohort study

2001 ◽  
Vol 120 (5) ◽  
pp. A128-A128 ◽  
Author(s):  
H MALATY ◽  
D GRAHAM ◽  
A ELKASABANY ◽  
S REDDY ◽  
S SRINIVASAN ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Cohort Study ◽  
Natural History ◽  
Helicobacter Pylori Infection ◽  
History Of
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