Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Author:

,Sgrò A,Blanco-Colino R,Ahmed WUR,Brindl N,Gujjuri RR,Lapolla P,Mills EC,Pérez-Ajates S,Soares AS,Varghese C,Xu W,McLean KA,Chapman SJ,Espín-Basany E,Glasbey JC,Mihaljevic A,Nepogodiev D,Pata F,Pellino G,Pockney P,Dudi-Venkata NN,Egoroff N,Ludbrook I,Raubenheimer K,Richards T,Pockney P,Delibegovic S,Salibasic M,Amjad T,Brindl N,Dörr-Harim C,Gedeon N,Gsenger J,Mihaljevic A,Tachezy M,Bini S,Gallo G,Gori A,Lapolla P,Pata F,Pellino G,Picciariello A,Podda M,Riboni C,Machatschek MJ,Nguyen A,Jakubauskas M,Kryzauskas M,Poskus T,Kuiper SZ,Wang J,Wells CI,Bissett IP,Augestad KM,Steinholt I,Soares AS,Vieira BN,Juloski J,Anabitarte Bautista O,El Kasmy El Kasmy Y,Pérez-Ajates S,Martín-Borregón P,Ossola Revilla M,Espín-Basany E,Van Straten S,Aktas MK,Baki BE,Ahmed WUR,Akhbari M,Baker D,Bhatia S,Brown S,Cambridge W,Kamarajah SK,Khaw RA,Kouli O,McLean KA,Mills EC,Murray V,Trout I,Yasin I,Wong J Y,Reyhani H,Wong KHF,Pancharatnam R,Chia WL,Walmsley A,Hassane A,Saeed D,Wang B,Walters B,Nowinka Z,Alsaif A,Mirza M,Foster K,Luu J,Kakodkar P,Hughes JT,Yogarajah T,Antypas A,Rahman A,Bradbury M,McLarnon M,Nagi S,Riad AM,Erotocritou M,Kyriacou H,Kaminskaite V,Alfadhel S,Fatimah Hussain Q,Handa A,Massy-Westropp C,Čustović S,Dimov R,Mughal H,Slavchev M,Ivanov T,Gouvas N,Hegazi A,Kocián P,Kjaer MD,Mark-Christensen A,Papakonstantinou D,Machairas N,Triantafyllou T,Garoufalia Z,Korkolis D,Castaldi A,Picciariello A,Giaccari S,Spolverato G,Pagano G,Milone M,Turri G,Colombo F,Cucinotta E,Poillucci G,Lapolla P,Bini S,Perra T,Tutino R,Belia F,Coletta D,Belli A,Rega D,Cianci P,Pirozzolo G,Di Lena M,Perrone F,Giani A,Lovisetto F,Grassia M,Pipitone Federico NS,Ferrara F,Biancafarina A,Tamini N,Sinibaldi G,Tuminello F,Galleano R,Sasia D,Bragaglia L,de Manzoni Garberini A,Pesce A,Cassaro F,Venturelli P,Gori A,Canu GL,Esposito G,Campanelli M,Cardia R,Ricciardiello M,Sagnotta A,Canonico G,De Marco G,Cappiello A,Pinotti E,Carlei F,Lisi G,Bagaglini G,Gallo G,Nguyen A,Machatschek MJ,Farrugia M,Meima - van Praag EM,Monteiro C,Pereira M,Botelho P,Quigley A,O'Neill A,Gaule L,Crone L,Arnold A,Grama F,Beuca A,Tulina I,Litvin A,Juloski J,Panyko A,Ossola ME,Trujillo Díaz J,Marín Santos JM,Alonso Batanero E,Gortázar de las Casas S,Soldevila Verdeguer C,Colás-Ruiz E,Talal El-Abur I,García Domínguez M,Delorme M,Sauvain M,Ozmen BB,Aktas MK,Ozkan BB,Calikoglu F,Kural S,Zafer F,Kaya Y,Yalcinkaya A,Kargici K,Tepe MD,Tatar OC,Kabadayi E,Yıldırım A,Hurmuzlu D,Korkmaz K,Sharma P,Troller R,Hagan N,Mooney J,Light A,Tansey M,Bhojwani D,McGing RM,Mallon A,Fadel M,Spilsbury C,James R,O’Brien S,Isaac A,Balasubramanya S,Sadik H,Gala T,Chen JY,Turner B,Goh E,Hassan K,Karam M,Mason P,Tzoumas N,Noton T,Seehra JK,Ahmed N,Motiwale R,Tanna V,Argyriou A,Bylapudi SK,Grace N,Latif S,Hounat A,Kiam JS,Zaidi M,Elsamani K,Hughes C,Suresh A,Sinan LOH,El-Dalil D,Khoo EJM,Salim EE,Stark D,Minhas N,Fowler G,Rees E,Giudiceandrea I,Bardon A,Jayawardena P,Dieseru N,Murphy A,Yates C,Ziolkowska K,Rafie A,Khoda F,Okocha M,Ashdown 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LJ,Segura-Sampedro JJ,Colás-Ruiz E,Blas Laina JL,Ponchietti L,Buchwald P,Gialamas E,Ozben V,Rencuzogullari A,Gecim İE,Altinel Y,Isik O,Yoldas T,Isik A,Leventoğlu S,Ertürk MS,Guner A,Güler SA,Attaallah W,Ugur M,Özbalcı GS,Marzook H,Eardley N,Smolarek S,Morgan R,Roxburgh C,Lala AK,Salama Y,Singh B,Khanna A,Evans M,Shaikh I,Maradi Thippeswamy K,Appleton B,Moug S,Smith I,Smart N,Shah P,Williams G,Khera G,Goede A,Varcada M,Parmar C,Duff S,Hargest R,Marriott P,Speake D,Ben Sassi A,Goede A,Furfaro B,Daudu D,Golijanin N,Yek WY,Capasso G,Mansour LT,Niu N,Seow W,Hamidovic A,Kulovic E,Letic E,Aljić A,Letic E,Helez M,Banji-Kelan A,Dimitrova N,Kavradjieva P,Ivanov V,Jukaku A,Hadzhiev D,Mughal H,Slavchev M,Gabarski A,Karamanliev M,Vladova P,Iliev S,Yotsov T,Ευσταθίου Η,Vetsa K,Gouvas N,Stavrinidou O,Papatheodorou P,Liassides T,Georgiou T,Hegazi A,Al Nassrallah M,Altaf R,Amjad T,Negametzyanov M,Dušek T,Zagibová D,Foltys F,Štefanová H,Paspala A,Papakonstantinou D,Bompetsi G,Sidiropoulos T,Sotiropoulos GC,Machairas N,Stamopoulos P,Triantafyllou A,Theodoropoulos C,Kimpizi A,Theodorou D,Triantafyllou T,Palyvou T,Charalabopoulos A,Syllaios A,Schizas D,Liatsou E,Baili E,Vagios I,Tomara N,Davakis S,Balalis D,Palumbo A,Castaldi A,Foroni F,Picciariello A,Altomare DF,Dibra R,Papagni V,Urbani A,Rossin E,Nezi G,Romano P,Amendola A,Esposito E,Manigrasso M,Anoldo P,Vertaldi S,Gecchele G,Turri G,Sabrina ZS,Guerci C,Cammarata F,Lamperti GMB,Zaffaroni G,Benuzzi L,Ferrario L,Cigognini M,Mazzeo C,Badessi G,Pintabona G,Fassari A,Mingoli A,Cirillo B,D’Alterio C,Brachini G,Tancredi M,Zambon M,Aulicino M,Sapienza P,Lapolla P,Liberatore P,Bini S,Scanu AM,Feo CF,Perra T,Iacomino A,Massani M,Pelizzo P,Tutino R,Rossi S,Vigna SA,Grossi U,Grillo V,Agnes A,Schena CA,Belia F,Marincola G,Oddi A,Perotti B,Coletta D,Mario V,Perri P,Zazza S,Aversano A,Scala D,Di Lauro K,Leongito M,Piccirillo M,Patrone R,Restini E,Cianci P,Capuzzolo S,Vignotto C,Pirozzolo G,Bao QR,Giuseppe C,Angarano E,Di Lena M,Marino F,Perrone F,Pezzolla F,Gigante G,Magistro C,Crippa J,Maspero M,Carnevali P,Lovisetto F,Trapani R,Zonta S,Agostinelli L,Vittori L,Romeo L,Doria E,Farnesi F,Danna R,Ferrara F,Biancafarina A,Andolfi E,Pellicano’ GA,Angelini M,Scricciolo M,Zanframundo C,Ciulli C,Ripamonti L,Cigagna L,Oldani M,Tamini N,Larcinese A,Rossi D,Picone E,Crescentini G,Tuminello F,Caristo G,Marano A,Sasia D,Migliore M,Giuffrida MC,Palagi S,Testa V,Borrello A,Lucarini A,Garofalo E,Canali G,Bragaglia L,Orlandi P,de Manzoni Garberini A,Nervegna F,Marchegiani F,Damoli I,Licata A,Trovato C,Cassaro F,Alicata F,Sardo F,Milazzo M,Randisi B,Dominici DM,Cocorullo G,Venturelli P,Gori A,Sartarelli L,Zanni M,Pisanu A,Soddu C,Delogu D,Erdas E,Campus F,Cappellacci F,Casti F,Esposito G,Marcialis J,Atzeni J,Podda MG,Sensi B,Sica G,Franceschilli M,Campanelli M,Bellato V,Cannavera A,Putzu G,Cillara N,di Mola FF,Ricciardiello M,Sagnotta A,Picardi B,Solinas L,Loponte M,Rossi del Monte S,Rossi S,Di Martino C,Linari C,Spagni G,Capezzuoli L,Tirloni 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Abstract

Abstract Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien–Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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