Prophylactic Wound Drainage in Renal Transplantation: A Systematic Review.

摘要: Background Adult kidney transplantation is most commonly into an extraperitoneal potential space, and surgically placed drains are used routinely in many centers. There limited evidence of clinical benefit for prophylactic drainage other major abdominal vascular surgery. Transplantation is, however, a unique setting combining organ dysfunction immunosuppression, the risks benefits drain placement not known. This study attempts to examine existing literature determine whether intraoperative have impact on likelihood perigraft fluid collections wound-related complications following transplantation. Methods A search MEDLINE EMBASE was conducted identify published comparative studies, including recipients receiving whom were omitted. The main outcomes incidence peritransplant complications. Meta-analysis performed these data. Results Four retrospective cohort studies deemed eligible quantitative analysis 1 additional conference abstract included qualitative discussion. total 1640 patients, 1023 with 617 without, meta-analysis. lower rate associated group (RR 0.62; 95% confidence interval, 0.42-0.90). no significant difference between groups 0.85; 0.34-2.11). Conclusions These data associate higher omission drainage, without Further research required definitively this patient group.