Study of the patency of different peritoneal drains used prophylactically in bariatric surgery

Júnior, Wilson Salgado; Macedo Neto, Marcelo Martins; dos Santos, José Sebastião; Sakarankutty, Ajith Kumar; Ceneviva, Reginaldo; Silva Jr., Orlando de Castro; Hanazaki, Kazuhiro
May 2009
World Journal of Gastroenterology;5/21/2009, Vol. 15 Issue 19, p2340
Academic Journal
AIM: To compare the performance of different types of abdominal drains used in bariatric surgery. METHODS: A vertical banded Roux-en-Y gastric bypass was performed in 33 morbidly obese patients. Drainage of the peritoneal cavity was performed in each case using three different types of drain selected in a randomized manner: a latex tubular drain, a Watterman tubulolaminar drain, and a silicone channeled drain. Drain permeability, contamination of the drained fluid, ease of handling, and patient discomfort were evaluated postoperatively over a period of 7 d. RESULTS: The patients with the silicone channelled drain had larger volumes of drainage compared to patients with tubular and tubulolaminar drains between the third and seventh postoperative days. In addition, a lower incidence of discomfort and of contamination with bacteria of a more pathogenic profile was observed in the patients with the silicone channeled drain. CONCLUSION: The silicone channeled drain was more comfortable and had less chance of occlusion, which is important in the detection of delayed dehiscence.


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