Pediatric Surgery International

, Volume 27, Issue 9, pp 975–979

Placement of prophylactic drains after laparotomy may increase infectious complications in neonates

  • Mikihiro Inoue
  • Keiichi Uchida
  • Kohei Otake
  • Yuhki Koike
  • Yoshinaga Okugawa
  • Minako Kobayashi
  • Yasuhiko Mohri
  • Chikao Miki
  • Masato Kusunoki
Original Article

DOI: 10.1007/s00383-011-2905-5

Cite this article as:
Inoue, M., Uchida, K., Otake, K. et al. Pediatr Surg Int (2011) 27: 975. doi:10.1007/s00383-011-2905-5

Abstract

Purpose

The aim of this study was to determine if the placement of prophylactic drains influences the incidence of postoperative adverse events in neonates.

Methods

Neonatal patients undergoing laparotomy between April 2000 and December 2007 were prospectively assigned to aggressive peritoneal cavity lavage, without the placement of prophylactic drains, before abdominal closure (non-drainage group, n = 111). The historical control group consisted of neonates who underwent laparotomy with routine prophylactic drain placement between January 1993 and March 2000 (drainage group, n = 87). The incidence of postoperative adverse events was compared between the two groups.

Results

There were no significant differences in the incidence of overall complications (drainage, 48%; non-drainage, 36%: p = 0.08), infectious complications (drainage, 34%; non-drainage, 26%: p = 0.20) or surgical site infections (drainage, 20%; non-drainage, 14%: p = 0.25) between the two groups. In the subgroup analysis, the incidences of total postoperative complications and infectious complications were significantly higher in the drainage group compared with the non-drainage group for upper gastrointestinal tract operations (52 vs. 20%; 39 vs. 6.7%) (p = 0.04 and 0.02, respectively).

Conclusion

Prophylactic drainage did not reduce the incidence of postoperative complications, and the placement of drains may possibly increase the incidence of infectious complications.

Keywords

Neonate Peritoneal drainage Prophylactic drain Postoperative infectious complication 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Mikihiro Inoue
    • 1
  • Keiichi Uchida
    • 1
  • Kohei Otake
    • 1
  • Yuhki Koike
    • 1
  • Yoshinaga Okugawa
    • 1
  • Minako Kobayashi
    • 1
  • Yasuhiko Mohri
    • 1
  • Chikao Miki
    • 1
  • Masato Kusunoki
    • 1
  1. 1.Department of Gastrointestinal and Pediatric SurgeryMie University Graduate School of MedicineMieJapan

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