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Comparative Study
. 2007 Jun;119(7):2018-2022.
doi: 10.1097/01.prs.0000260586.55628.29.

The effect of closed-suction drains on the incidence of local wound complications following tissue expander/implant reconstruction: a cohort study

Colleen M McCarthy  1 , Joseph J Disa, Andrea L Pusic, Babak J Mehrara, Peter G Cordeiro
Affiliations
Comparative Study

The effect of closed-suction drains on the incidence of local wound complications following tissue expander/implant reconstruction: a cohort study

Colleen M McCarthy et al. Plast Reconstr Surg. 2007 Jun.

Abstract

Background: The purpose of this investigation was to evaluate the effect of drains on complications, including infection, seroma, and hematoma formation, in patients undergoing exchange of a temporary expander for a permanent breast implant.

Methods: A review of all tissue expander/implant breast reconstructions performed at a single center from 1997 to 2004 was undertaken. Two patient cohorts were identified: patients who underwent exchange of their expander to a permanent implant with the use of closed-suction drains and patients who underwent the exchange procedure without the use of drains. The incidence of infection, seroma, and hematoma formation was determined for each cohort. Chi-square and two-sample t tests were performed for categorical and continuous variables, respectively.

Results: A total of 2446 exchange procedures in 1863 patients were performed. In 1495 reconstructions (1165 patients), drains were placed after the exchange procedure; in 951 reconstructions (698 patients), no drains were used. There was no difference in the overall rate of complications following the exchange procedure with or without the use of drains (p = 0.886). Specifically, there was no difference in the incidence of infection necessitating implant removal in the presence of drains compared with that in the absence of drains (p = 0.585). Similarly, there was no significant difference in the rate of hematoma/seroma formation with or without the use of drains (p = 0.742).

Conclusion: The use of periprosthetic, closed-suction drains after exchange of a temporary expander for a permanent breast implant does not affect the incidence of perioperative complications, including infection, seroma, and hematoma formation.

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References

    1. Raves, J. J., Slifkin, M., and Diamond, D. L. A bacteriologic study comparing closed suction and simple conduit drainage. Am. J. Surg. 148: 618, 1984.
    1. McCaul, J. A., Aslaam, A., Spooner, R. J., Louden, I., Cavanagh, T., and Purushotham, A. D. Aetiology of seroma formation in patients undergoing surgery for breast cancer. Breast 9: 144, 2000.
    1. Cerise, E. J., Pierce, W. A., and Diamond, D. L. Abdominal drains: Their role as a source of infection following splenectomy. Ann. Surg. 171: 764, 1970.
    1. Nora, P. F., Vanecko, R. M., and Bransfield, J. J. Prophylactic abdominal drains. Arch. Surg. 105: 173, 1972.
    1. Puttawibul, P., Sangthong, B., Maipang, T., Sampao, S., Uttamakul, P., and Apakupakul, N. Mastectomy without drain at pectoral area: A randomized controlled trial. J. Med. Assoc. Thai. 86: 325, 2003.

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