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J R Soc Med 1989;82:661-664
© 1989 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 82, Issue 11 661-664, Copyright © 1989 by Royal Society of Medicine

ORIGINAL ARTICLES

Is a drain necessary after colonic anastomosis?

CD Johnson, PM Lamont, N Orr and M Lennox
Department of Surgery, Westminster Hospital.

To date, there have been no clinical investigations of the usefulness of drains following colonic anastomosis in elective operations. We report a prospective study in which 49 patients were randomized to have a corrugated silastic drain (Portex) placed next to the colonic anastomosis. These patients were compared with a control group of 57 patients who had no drain. The two groups were similar in age, sex, diagnosis and site of anastomosis. There was no difference in outcome between the two groups. Anastomotic leakage occurred in six patients in each group. Wound infections were noted in 10 patients in each group. Two patients with a drain and one patient without a drain died from leakage at the anastomosis. This study provides no evidence to support the use of a corrugated drain after anastomosis of the colon.
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 Arch SurgHome page
F. Merad, E. Yahchouchi, J.-M. Hay, A. Fingerhut, Y. Laborde, O. Langlois-Zantain, and for the French Associations for Surgical Research
Prophylactic Abdominal Drainage After Elective Colonic Resection and Suprapromontory Anastomosis: A Multicenter Study Controlled by Randomization
Arch Surg, March 1, 1998; 133(3): 309 - 314.
[Abstract] [Full Text] [PDF]


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