Salgado Júnior W, Macedo Neto MM, dos Santos JS, Sakarankutty AK, Ceneviva R, de Castro e Silva Jr O. Study of the patency of different peritoneal drains used prophylactically in bariatric surgery. World J Gastroenterol 2009; 15(19): 2340-2344 [PMID: 19452575 DOI: 10.3748/wjg.15.2340]
Corresponding Author of This Article
Wilson Salgado Júnior, Department of Surgery and Anatomy, Medical School of Ribeirão Preto of the University of São Paulo, R. Antônio Chiericato, 760, Ribeirão Preto, - SP 14096-510, Brazil. wsalgado@fmrp.usp.br
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World J Gastroenterol. May 21, 2009; 15(19): 2340-2344 Published online May 21, 2009. doi: 10.3748/wjg.15.2340
Study of the patency of different peritoneal drains used prophylactically in bariatric surgery
Wilson Salgado Júnior, Marcelo Martins Macedo Neto, José Sebastião dos Santos, Ajith Kumar Sakarankutty, Reginaldo Ceneviva, Orlando de Castro e Silva Jr
Wilson Salgado Júnior, Marcelo Martins Macedo Neto, José Sebastião dos Santos, Ajith Kumar Sakarankutty, Reginaldo Ceneviva, Orlando de Castro e Silva Jr, Department of Surgery and Anatomy, Medical School of Ribeirão Preto of the University of São Paulo, R. Antônio Chiericato, 760, Ribeirão Preto, - SP 14096-510, Brazil
Author contributions: Salgado Júnior W designed the research; Salgado Júnior W and Macedo Neto MM performed the research; Salgado Júnior W, Macedo Neto MM, dos Santos JS, Sakarankutty AK, Ceneviva R and de Castro e Silva Jr O wrote the paper and analysed all the data.
Correspondence to: Wilson Salgado Júnior, Department of Surgery and Anatomy, Medical School of Ribeirão Preto of the University of São Paulo, R. Antônio Chiericato, 760, Ribeirão Preto, - SP 14096-510, Brazil. wsalgado@fmrp.usp.br
Telephone: +55-2116-36182676
Received: September 1, 2008 Revised: April 13, 2009 Accepted: April 20, 2009 Published online: May 21, 2009
Abstract
AIM: To compare the performance of different types of abdominal drains used in bariatric surgery.
METHODS: A vertical banded Roux-en-Y gastric bypass was performed in 33 morbidly obese patients. Drainage of the peritoneal cavity was performed in each case using three different types of drain selected in a randomized manner: a latex tubular drain, a Watterman tubulolaminar drain, and a silicone channeled drain. Drain permeability, contamination of the drained fluid, ease of handling, and patient discomfort were evaluated postoperatively over a period of 7 d.
RESULTS: The patients with the silicone channeled drain had larger volumes of drainage compared to patients with tubular and tubulolaminar drains between the third and seventh postoperative days. In addition, a lower incidence of discomfort and of contamination with bacteria of a more pathogenic profile was observed in the patients with the silicone channeled drain.
CONCLUSION: The silicone channeled drain was more comfortable and had less chance of occlusion, which is important in the detection of delayed dehiscence.
