To Drain or Not To Drain: A Retrospective Study of Closed-Suction Drainage Following Radical Hysterectomy with Pelvic Lymphadenectomy
The records of 115 patients were reviewed following radical hysterectomy with pelvic lymphadenectomy for early stage (IA2 to IIB) cervical cancer to determine the effectiveness of closed-suction drainage in decreasing postoperative morbidity. In Group 1 ( n = 67), closed-suction (Jackson-Pratt) drai...
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| Veröffentlicht in: | Gynecologic oncology 1993-10, Vol.51 (1), p.46-49 |
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| creator | Jensen, Janine K. Lucci, Joseph A. DiSaia, Philip J. Manetta, Alberto Berman, Michael L. |
| description | The records of 115 patients were reviewed following radical hysterectomy with pelvic lymphadenectomy for early stage (IA2 to IIB) cervical cancer to determine the effectiveness of closed-suction drainage in decreasing postoperative morbidity. In Group 1 (
n = 67), closed-suction (Jackson-Pratt) drains were placed bilaterally in the pelvic lymphadenectomy sites, whereas in Group 2 (
n = 48), no drains were utilized. The groups were similar for mean age, tumor histology, disease stage, and preoperative serum albumin and total protein. There was no difference in the mean operative time, mean estimated blood loss, or transfusion rate. Likewise, febrile morbidity rates, incidence of pelvic cellulitis, length of postoperative ileus, and total hospital stay were similar. Group 1 had an increased rate of rehospitalization and morbidity directly related to the presence of the drains. The data suggest that prophylactic surgical drainage may not be necessary to prevent postoperative morbidity following radical hysterectomy with pelvic lymphadenectomy and on occasion contributes to postoperative complications. |
| doi_str_mv | 10.1006/gyno.1993.1244 |
| format | Article |
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n = 67), closed-suction (Jackson-Pratt) drains were placed bilaterally in the pelvic lymphadenectomy sites, whereas in Group 2 (
n = 48), no drains were utilized. The groups were similar for mean age, tumor histology, disease stage, and preoperative serum albumin and total protein. There was no difference in the mean operative time, mean estimated blood loss, or transfusion rate. Likewise, febrile morbidity rates, incidence of pelvic cellulitis, length of postoperative ileus, and total hospital stay were similar. Group 1 had an increased rate of rehospitalization and morbidity directly related to the presence of the drains. The data suggest that prophylactic surgical drainage may not be necessary to prevent postoperative morbidity following radical hysterectomy with pelvic lymphadenectomy and on occasion contributes to postoperative complications.</description><identifier>ISSN: 0090-8258</identifier><identifier>EISSN: 1095-6859</identifier><identifier>DOI: 10.1006/gyno.1993.1244</identifier><identifier>PMID: 8244174</identifier><identifier>CODEN: GYNOA3</identifier><language>eng</language><publisher>San Diego, CA: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Drainage - instrumentation ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; Hysterectomy - adverse effects ; Hysterectomy - methods ; Lymph Node Excision - adverse effects ; Medical sciences ; Middle Aged ; Pelvis ; Postoperative Complications - prevention & control ; Retrospective Studies ; Tumors</subject><ispartof>Gynecologic oncology, 1993-10, Vol.51 (1), p.46-49</ispartof><rights>1993 Academic Press</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-e131e056e62750325349ea9d4dcdffbac72e7c573b328a1bc9cb996e3b8907473</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1006/gyno.1993.1244$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,777,781,786,787,3537,23911,23912,25121,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3806795$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8244174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jensen, Janine K.</creatorcontrib><creatorcontrib>Lucci, Joseph A.</creatorcontrib><creatorcontrib>DiSaia, Philip J.</creatorcontrib><creatorcontrib>Manetta, Alberto</creatorcontrib><creatorcontrib>Berman, Michael L.</creatorcontrib><title>To Drain or Not To Drain: A Retrospective Study of Closed-Suction Drainage Following Radical Hysterectomy with Pelvic Lymphadenectomy</title><title>Gynecologic oncology</title><addtitle>Gynecol Oncol</addtitle><description>The records of 115 patients were reviewed following radical hysterectomy with pelvic lymphadenectomy for early stage (IA2 to IIB) cervical cancer to determine the effectiveness of closed-suction drainage in decreasing postoperative morbidity. In Group 1 (
n = 67), closed-suction (Jackson-Pratt) drains were placed bilaterally in the pelvic lymphadenectomy sites, whereas in Group 2 (
n = 48), no drains were utilized. The groups were similar for mean age, tumor histology, disease stage, and preoperative serum albumin and total protein. There was no difference in the mean operative time, mean estimated blood loss, or transfusion rate. Likewise, febrile morbidity rates, incidence of pelvic cellulitis, length of postoperative ileus, and total hospital stay were similar. Group 1 had an increased rate of rehospitalization and morbidity directly related to the presence of the drains. The data suggest that prophylactic surgical drainage may not be necessary to prevent postoperative morbidity following radical hysterectomy with pelvic lymphadenectomy and on occasion contributes to postoperative complications.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Drainage - instrumentation</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hysterectomy - adverse effects</subject><subject>Hysterectomy - methods</subject><subject>Lymph Node Excision - adverse effects</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pelvis</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Tumors</subject><issn>0090-8258</issn><issn>1095-6859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFu1DAQhi1EVZbClRuSD4hbtnac2DG3aktbpFWL2nK2HHuyNUrixU62ygPw3nWUpTdOo5n_m9HoQ-gTJWtKCD_fTb1fUynZmuZF8QatKJFlxqtSvkUrQiTJqrys3qH3Mf4mhDBC81N0WiWWimKF_j56fBm067EP-NYP-F__DV_gexiCj3swgzsAfhhGO2Hf4E3rI9jsYUxz3y-43gG-8m3rn12_w_faOqNbfDPFAULa992En93whH9Ce3AGb6du_6Qt9Ev2AZ00uo3w8VjP0K-r74-bm2x7d_1jc7HNDOPVkAFlFEjJgeeiJCwvWSFBS1tYY5um1kbkIEwpWM3yStPaSFNLyYHVlSSiEOwMfV3u7oP_M0IcVOeigbbVPfgxKsGJEJznCVwvoEkCYoBG7YPrdJgUJWr2rmbvavauZu9p4fPx8lh3YF_xo-iUfznmOiYzTdC9cfEVYxXhQpYJqxYMkoWDg6CicdAbsG7WqKx3__vgBUeeoBk</recordid><startdate>19931001</startdate><enddate>19931001</enddate><creator>Jensen, Janine K.</creator><creator>Lucci, Joseph A.</creator><creator>DiSaia, Philip J.</creator><creator>Manetta, Alberto</creator><creator>Berman, Michael L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19931001</creationdate><title>To Drain or Not To Drain: A Retrospective Study of Closed-Suction Drainage Following Radical Hysterectomy with Pelvic Lymphadenectomy</title><author>Jensen, Janine K. ; Lucci, Joseph A. ; DiSaia, Philip J. ; Manetta, Alberto ; Berman, Michael L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-e131e056e62750325349ea9d4dcdffbac72e7c573b328a1bc9cb996e3b8907473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Drainage - instrumentation</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hysterectomy - adverse effects</topic><topic>Hysterectomy - methods</topic><topic>Lymph Node Excision - adverse effects</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pelvis</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jensen, Janine K.</creatorcontrib><creatorcontrib>Lucci, Joseph A.</creatorcontrib><creatorcontrib>DiSaia, Philip J.</creatorcontrib><creatorcontrib>Manetta, Alberto</creatorcontrib><creatorcontrib>Berman, Michael L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gynecologic oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jensen, Janine K.</au><au>Lucci, Joseph A.</au><au>DiSaia, Philip J.</au><au>Manetta, Alberto</au><au>Berman, Michael L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>To Drain or Not To Drain: A Retrospective Study of Closed-Suction Drainage Following Radical Hysterectomy with Pelvic Lymphadenectomy</atitle><jtitle>Gynecologic oncology</jtitle><addtitle>Gynecol Oncol</addtitle><date>1993-10-01</date><risdate>1993</risdate><volume>51</volume><issue>1</issue><spage>46</spage><epage>49</epage><pages>46-49</pages><issn>0090-8258</issn><eissn>1095-6859</eissn><coden>GYNOA3</coden><abstract>The records of 115 patients were reviewed following radical hysterectomy with pelvic lymphadenectomy for early stage (IA2 to IIB) cervical cancer to determine the effectiveness of closed-suction drainage in decreasing postoperative morbidity. In Group 1 (
n = 67), closed-suction (Jackson-Pratt) drains were placed bilaterally in the pelvic lymphadenectomy sites, whereas in Group 2 (
n = 48), no drains were utilized. The groups were similar for mean age, tumor histology, disease stage, and preoperative serum albumin and total protein. There was no difference in the mean operative time, mean estimated blood loss, or transfusion rate. Likewise, febrile morbidity rates, incidence of pelvic cellulitis, length of postoperative ileus, and total hospital stay were similar. Group 1 had an increased rate of rehospitalization and morbidity directly related to the presence of the drains. The data suggest that prophylactic surgical drainage may not be necessary to prevent postoperative morbidity following radical hysterectomy with pelvic lymphadenectomy and on occasion contributes to postoperative complications.</abstract><cop>San Diego, CA</cop><pub>Elsevier Inc</pub><pmid>8244174</pmid><doi>10.1006/gyno.1993.1244</doi><tpages>4</tpages></addata></record> |
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| ispartof | Gynecologic oncology, 1993-10, Vol.51 (1), p.46-49 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Biological and medical sciences Drainage - instrumentation Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Hysterectomy - adverse effects Hysterectomy - methods Lymph Node Excision - adverse effects Medical sciences Middle Aged Pelvis Postoperative Complications - prevention & control Retrospective Studies Tumors |
| title | To Drain or Not To Drain: A Retrospective Study of Closed-Suction Drainage Following Radical Hysterectomy with Pelvic Lymphadenectomy |
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