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Influence of Drain Placement on Postoperative Pain Following Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: Randomized Controlled Trial

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Abstract

Background

There is currently no evidence to support the routine use of an abdominal drain following laparoscopic Roux-en-Y gastric bypass (RYGB). Our aim was to investigate drain use in laparoscopic RYGB and its effects on postoperative pain.

Methods

Sixty-six patients were randomly divided into two groups as no-drain (n = 36) and with-drain (n = 30). Intraoperative (time, blood loss, complications) and postoperative outcomes (morbidities, pain scores, hospital stay) were compared.

Results

Demographics of both groups were comparable. Three patients in the no-drain group required a drain (8.3%). Median visual analog scale scores for days 1–3 for with-drain and no-drain groups were 4.5 (2–9) vs. 3 (0–8) (p = 0.02), 3 (0–7) vs. 2 (0–7) (p = 0.10), and 2 (0–7) vs. 0 (0–4) (p = 0.0004), respectively. There was no difference between the groups in terms of complications and length of hospital stay.

Conclusion

Drain use increased the postoperative pain following laparoscopic RYGB. Drain placement following laparoscopic RYGB should be selective instead of a routine application.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Inonu University, 44315, Malatya, Turkey

    Ersin Gundogan, Cuneyt Kayaalp, Aydin Aktas, Kutay Saglam, Mufit Sansal, Cihan Gokler, Egemen Cicek, Ufuk Uylas & Fatih Sumer

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  1. Ersin Gundogan
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  2. Cuneyt Kayaalp
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  3. Aydin Aktas
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  4. Kutay Saglam
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  5. Mufit Sansal
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  6. Cihan Gokler
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  7. Egemen Cicek
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  8. Ufuk Uylas
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  9. Fatih Sumer
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Corresponding author

Correspondence to Ersin Gundogan.

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The authors declare that they have no conflict of interest.

Ethical Approval Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent Statement

Informed consent was obtained from all individual participants included in the study.

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Gundogan, E., Kayaalp, C., Aktas, A. et al. Influence of Drain Placement on Postoperative Pain Following Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: Randomized Controlled Trial. OBES SURG 28, 3499–3504 (2018). https://doi.org/10.1007/s11695-018-3374-x

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  • DOI: https://doi.org/10.1007/s11695-018-3374-x

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