To drain or not to drain: A propensity score analysis of abdominal drainage after colorectal surgery for endometriosis

Adrien Crestani, Éric de Labrouhe, de Labrouhe E, Eric de Labrouhe, Marjolaine Le Gac, Le Gac M, Kolanska K, Kamila Kolanska, Kamila Kolańska, Clément Ferrier, Ferrier C, Cyril Touboul, Touboul C, Dabi Y, Yohann Dabi, Émile Daraï, Emile Darai, Darai E
European journal of obstetrics, gynecology, and reproductive biology · 2024 · vol. 297 , pp. 227–232 · doi:10.1016/j.ejogrb.2024.04.028 · PMID:38691975 · W4395000657
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Prophylactic abdominal drainage after mini-invasive colorectal surgery for endometriosis was associated with longer hospital stays and more complications, with no difference in readmission or reoperation rates.

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Abstract

AIM: To assess the benefit of prophylactic abdominal drainage (AD) after colorectal surgery for endometriosis. METHODS: We conducted a retrospective study of 215 patients who underwent colorectal surgery for endometriosis using a mini-invasive approach in our center from February 2019 to July 2023. A propensity score matched (PSM) analysis (1:1 ratio) identified two groups of patients with similar characteristics. Postoperative outcomes were then compared. RESULTS: In the unmatched cohort, 151 patients (70 %) had AD at the end of surgery and 64 (30 %) did not. Clinical characteristics and surgical procedures were comparable between the groups after PSM. After PSM, AD was associated with a longer hospital stay (p < 0.001) and a greater number of postoperative complications (p = 0.03). There were no differences for readmission, repeat surgery, or severe postoperative complications. CONCLUSION: In this retrospective cohort of patients undergoing colorectal resection for endometriosis using a mini-invasive approach, prophylactic AD was not found to be beneficial.

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Condition tags

endometriosis

MeSH descriptors

Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage Drainage

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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