Document Detail


Prophylactic closed suction drainage of femoral wounds in patients undergoing vascular reconstruction.
MedLine Citation:
PMID:  2527316     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prophylactic closed suction drainage has been advocated in a variety of surgical wounds, but its use in wounds involving vascular anastomoses has not been studied. Fifty patients undergoing lower extremity revascularization that required bilateral groin incisions were randomly assigned to have either the right or left side of the groin drained with a closed suction catheter. The contralateral wound was closed without drainage. Statistically there was no difference between wound closed with drains and undrained wounds in the occurrence of hematomas, seromas, lymphoceles, superficial infections, subcutaneous infections, or graft infections; although serious complications were more frequent in the drained wounds. Prophylactic closed suction drainage appears to offer no advantage over closure without drainage in wounds of the groin resulting from elective vascular operations.
Authors:
D A Healy; J Keyser; G W Holcomb; R H Dean; B M Smith
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  10     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-09-08     Completed Date:  1989-09-08     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  166-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Vanderbilt University, Nashville, Tenn.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Blood Vessel Prosthesis
Femoral Artery / surgery*
Groin / surgery
Hematoma / prevention & control
Humans
Lymphocele / prevention & control
Polyethylene Terephthalates
Polytetrafluoroethylene
Postoperative Complications / prevention & control*
Random Allocation
Suction / methods*
Surgical Wound Infection / prevention & control
Suture Techniques
Time Factors
Vascular Patency
Wound Healing
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates; 9002-84-0/Polytetrafluoroethylene
Comments/Corrections
Comment In:
J Vasc Surg. 1990 Aug;12(2):218-9   [PMID:  2381030 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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