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Is closed-suction drainage necessary after intradural primary spinal cord tumor surgery?

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Abstract

Purpose

The efficacy of closed-suction drainage in primary intradural spinal cord tumor surgery has not been addressed. We investigated whether closed-suction drainage is essential after primary intradural spinal cord tumor surgery.

Methods

From January 2003 to October 2011, 169 consecutive patients with primary intradural spinal cord tumors operated by a single surgeon were selected. Closed-suction drainage was inserted in patients before August 2007, but was not used after August 2007. After removal of tumor and meticulous hemostasis, the opened dura was closed and made watertight using 4-0 silk with interrupt suture and 1.0 cm3 of surgical glue was applied in common. Closed-suction drainage was inserted below the muscular fascia in 75 patients (group I, M:F = 39:36; 46.20 ± 15.63 years) and was not inserted in 94 patients (group II, M:F = 46:48; 51.05 ± 14.89 years).

Results

Neurological deficit precluding ambulation did not occur in all patients. Between group I and II, there were no significant differences in body mass index (22.75 ± 3.16 vs. 23.51 ± 3.22 kg/m2; p = 0.13), laminectomy level (2.45 ± 1.46 vs. 2.33 ± 1.91; p = 0.65), operation time (260.65 ± 109.08 vs. 231.52 ± 90.08 min; p = 0.06), estimated intraoperative blood loss (456.93 ± 406.62 vs. 383.94 ± 257.25 cm3; p = 0.18), and hospital stay period (9.25 ± 5.01 vs. 9.35 ± 5.75 days; p = 0.91). Two patients in group I underwent revision surgery due to wound problems, while revision surgery was not performed in group II (p = 0.20).

Conclusion

Closed-suction drainage may not be essential after primary intradural spinal cord tumor surgery.

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Acknowledgments

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MEST) (2012-0000996). The Institutional Review Board of the Clinical Research Institute at Seoul National University Hospital approved this study (H-1111-019-384).

Conflict of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Authors and Affiliations

  1. Department of Neurosurgery, Seoul National University Hospital and College of Medicine, 28 Yongeon-dong, Jongno-gu, Seoul, 110-744, Korea

    Seil Sohn, Chun Kee Chung & Chi Heon Kim

  2. Neuroscience Research Institute, Seoul National University Medical Research Center, 28 Yongeon-dong, Jongno-gu, Seoul, 110-744, Korea

    Seil Sohn, Chun Kee Chung & Chi Heon Kim

  3. Clinical Research Institute, Seoul National University Hospital, 28 Yongeon-dong, Jongno-gu, Seoul, 110-744, Korea

    Seil Sohn, Chun Kee Chung & Chi Heon Kim

Authors
  1. Seil Sohn
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  2. Chun Kee Chung
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Correspondence to Chi Heon Kim.

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Sohn, S., Chung, C.K. & Kim, C.H. Is closed-suction drainage necessary after intradural primary spinal cord tumor surgery?. Eur Spine J 22, 577–583 (2013). https://doi.org/10.1007/s00586-012-2504-8

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  • DOI: https://doi.org/10.1007/s00586-012-2504-8

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