Prophylactic drain placement after emergency general surgery procedures? A scoping review of the literature challenging common practice - 11/08/25
, Melinda S. Kelley b , Belinda de Simone c , Genevieve Deeken d , Walter L. Biffl b Abstract |
Background |
This scoping review aims to map the existing literature on the use of prophylactic drainage (PD) after Emergency General Surgery procedures (EGS) and to change the current practice according to evidence.
Methodology |
Data from an exhaustive literature search conducted across Embase (Ovid), Medline(R) ALL (Ovid), Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials was summarized. Literature published between January 2013 and December 2024 was included.
Results |
Most studies found better outcomes for the no-drain group. Implementing a drain after EGS procedures potentially increases hospital stays, postoperative pain, and surgical site infection rates. For conditions such as peritonitis and perforated ulcers, only a few studies were available, with some showing benefits of PD.
Conclusion |
For some conditions, like colorectal emergencies, there is a scarcity of evidence. The outcomes suggest that PD is not recommended in most EGS cases. In high-risk cases, there are some reports on improved outcomes for PD use. Further research is imperative to create science-based clinical guidelines, especially for less-researched conditions.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | 59 studies on prophylactic drain use in emergency general surgery were included. |
• | The outcomes suggest that PD is not recommended in most EGS cases. |
• | There was almost no research for some conditions regarding prophylactic drainage use. |
• | There is a lack of evidence-based guidelines. |
Mappa
Vol 247
Articolo 116462- settembre 2025 Ritorno al numero
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