Universität zu Köln

Schnake, Klaus, Pumberger, Matthias ORCID: 0000-0002-0885-7370, Rapper, Denis, Goetz, Achim, Zolotoverkh, Oleksandr, Waligora, Rita and Scheyerer, Max Joseph (2022). Closed-suction drainage in thoracolumbar spinal surgery-clinical routine without evidence? a systematic review. Eur. Spine J., 31 (3). S. 614 - 623. NEW YORK: SPRINGER. ISSN 1432-0932

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Abstract

Purpose The considered benefit of surgical drain use after spinal surgery is to prevent local accumulation of a haematoma by decompressing the closed space in the approach of the surgical site. In this context, the aim of the present systematic review was to prove the benefit of the routine use of closed-suction drains. Methods We conducted a comprehensive systematic review of the literature according to the Preferred reporting items for systematic reviews and meta-analyses (PRISMA) checklist and algorithm. Results Following the literature search, 401 potentially eligible investigations were identified. Eventually, a total of 24 studies with 8579 participants were included. Negative suction drainage led to a significantly higher volume of drainage fluid. Drainage duration longer than 72 h may be associated with a higher incidence of Surgical side infections (SSI); however, accompanying antibiotic treatment is unnecessary. Regarding postoperative haematoma and neurological complications, no evidence exists concerning their prevention. Hospital stay length and related costs may be elevated in patients with drainage but appear to depend on surgery type. Conclusions With regard to the existing literature, the use of closed-suction drainage in elective thoracolumbar spinal surgery is not associated with any proven benefit for patients and cannot decrease postoperative complications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schnake, Klaus UNSPECIFIED UNSPECIFIED UNSPECIFIED Pumberger, Matthias UNSPECIFIED orcid.org/0000-0002-0885-7370 UNSPECIFIED Rapper, Denis UNSPECIFIED UNSPECIFIED UNSPECIFIED Goetz, Achim UNSPECIFIED UNSPECIFIED UNSPECIFIED Zolotoverkh, Oleksandr UNSPECIFIED UNSPECIFIED UNSPECIFIED Waligora, Rita UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, Max Joseph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-679411
DOI:	10.1007/s00586-021-07079-6
Journal or Publication Title:	Eur. Spine J.
Volume:	31
Number:	3
Page Range:	S. 614 - 623
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-0932
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SURGICAL SITE INFECTION; EPIDURAL HEMATOMA; LUMBAR SPINE; TIP CULTURE; FUSION; ADOLESCENTS; PREDICT Multiple languages Clinical Neurology; Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67941