Open AccessEarly drain removal does not increase the rate of surgical site infections following an open transversus abdominis release
Author(s) -
Bradley S. Kushner,
Emma L. Smith,
Britta Han,
Ebunoluwa Otegbeye,
Sara Holden,
Jeffrey A. Blatnik
Publication year - 2021
Publication title -
hernia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.337
H-Index - 72
eISSN - 1265-4906
pISSN - 1248-9204
DOI - 10.1007/s10029-020-02362-9
Subject(s) - medicine , seroma , abdominal surgery , cellulitis , surgery , anesthesia , surgical site infection , abscess , enterocutaneous fistula , complication , fistula
Intraoperative drain placement during an open transversus abdominis release (TAR) is common practice. However, evidence detailing the optimal timing of drain removal is lacking. Surgical dogma teaches that drains should remain in place until output is minimal. This practice increases the risk of drain-associated complications (infection, pain, and skin irritation) and prolongs the burden of surgical drain maintenance. The objective of this study is to review infectious outcomes following TAR with early or late drain removal.