Outcomes after 4 years' experience with low suction drains. Would it be safe to go drainless or low suction?

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dc.contributor.authorFazlioglu, Mithat
dc.contributor.authorHammad, Walid
dc.contributor.authorPiyadeoglu, Deniz
dc.contributor.authorKutlu, Cemal Asim
dc.date.accessioned2024-10-29T17:58:50Z
dc.date.available2024-10-29T17:58:50Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractBackgroundThe principles of chest drainage have not changed significantly since 1875 when B & uuml;lau introduced the idea of underwater drainage tube which became a trademark of thoracic surgery. We performed a prospective, randomized trial comparing omitting pleural drain (drainless group) versus drainage with small low suction drain (drainage group) strategies of thoracic surgery when the visceral pleura remains intact. Aiming to investigate whether these approaches represent safe treatment options.MethodsA multi-center, prospective, parallel group, randomized, controlled trial enrolling patients after thoracic procedures in which visceral pleura remained intact at the end of surgery between August 2020 and September 2023. After completion of the procedure a suction-seal test was conducted on all patients. If suction-seal test was positive to confirm absence of air leak, patients were randomized to either receive low auto-suction drain as a solo pleural drain (drainage group) or not to receive drain (drainless group).ResultsDuring the study period, 111 patients were recruited. Eleven patients had negative Suction-seal test and were excluded by inserting a traditional underwater seal. The remaining 100 patients were randomly assigned to either drainage group with low suction drain (Fig. 1) (n = 50) or drainless group (n = 50).ConclusionThe results of this study suggest that either omitting drain or inserting a low auto suction drain safely substitutes the one-way valve when the visceral pleura remains intact. Omitting drain or inserting portable small caliber drain encourages early mobilization and is associated with shorter hospital stay.
dc.identifier.doi10.1186/s13019-024-02824-6
dc.identifier.issn1749-8090
dc.identifier.issue1en_US
dc.identifier.pmid39020363
dc.identifier.scopus2-s2.0-85198856124
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s13019-024-02824-6
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14519
dc.identifier.volume19
dc.identifier.wosWOS:001270575500001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofJournal of Cardiothoracic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLow auto-suction drain
dc.subjectSeal-suction test
dc.subjectUnderwater seal
dc.titleOutcomes after 4 years' experience with low suction drains. Would it be safe to go drainless or low suction?
dc.typeArticle

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