Surgical drain after open or laparoscopic splenectomy: is it needed or contraindicated?

摘要: Objective The Authors report their experience with the routine use of surgical drainage in a large series splenectomies. Summary background data Benefits and risks related to drains have been always discussed, some surgeons favor them skeptic others considering not physiological use. After splenectomy, is also largely debated, especially because susceptibility operated patients infections. Patients methods Two thousand nine cases reviewed. Indications for performed either by open or laparoscopic approach, included idiopathic thrombocytopenic purpura 137 (65,4%), splenic lymphoma 36 (17,2%), hereditary spherocytosis 15 (7,4%), β-thalassemia 8 (3,7%), other diseases 13 (6,1%). Results "Active" "passive" were placed 80% 20% cases, respectively. Drains removed 2-3 days after surgery 90,2%, within 10 4,3%, 2 months 0,4% cases. In post-operative bleeding, detected through drainage, required re-operation. One patient developed subphrenic abscess, successfully treated percutaneous drainage. case pancreatic fistula was observed. Conclusions Authors' experience, splenectomy does affect risk subsequent infectious complications, independently on type system used. Early removal this might played an important role very low incidence abdominal infections reported. play early detect as it happened series.