Summary
The authors have reviewed the pattern of drainage of Hemovac devices in 107 arthroplasties of the hip. Drainage ceased in 55 hips (51%) within 18 hours and 93 hips (89%) within 24 hours. The mean drainage volume was 303 cc in femoral head replacement, 498 cc in simple total hip replacement, and 663 cc in extensive total hip replacement. Ninety nine per cent of the total drainage had been achieved within 24 hours, indicating that drainage devices can be removed then rather than between 24 and 72 hours as had been previously recommended. This early removal will help reduce the possibility of retrograde infection, and promote more comfortable rehabilitation after operation.
Résumé
Afin de déterminer le moment idéal d'ablation du drainage aspiratif, nous avons revu 107 opérations de remplacement de la hanche. Dans 55 cas, le drainage par Hémovac était tari à la 18ème heure et à la 24ème 93 hanches (89%) ne donnaient pratiquement plus. La quantité moyenne du liquide de drainage était de 303 ml dans les remplacements de la tête fémorale, de 498 ml dans les arthroplasties totales simples et de 663 ml dans les arthroplasties totales complexes. Quatre-vingt-dix-neuf pour cent du liquide de drainage avait été évacué dans les 24 premières heures. En conclusion, l'Hémovac peut être retiré à la 24ème heure dans la plupart des cas, c'est-à-dire plus tôt que l'heure recommandée (24 à 72 heures). L'ablation plus précoce permet de réduire le risque d'infection rétrograde et rend plus confortable la rééducation post-opératoire.
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Rowe, S.M., Yoon, T.R., Kim, Y.S. et al. Hemovac drainage after hip arthroplasty. International Orthopaedics 17, 238–240 (1993). https://doi.org/10.1007/BF00194187
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DOI: https://doi.org/10.1007/BF00194187