Study of the patency of different peritoneal drains used prophylactically in bariatric surgery

Abstract

Aim: To compare the performance of different types of abdominal drains used in bariatric surgery. Methods: A vertical banded Roux-en-Y gastric bypass was performed in 33 morbidly obese patients. Drainage of the peritoneal cavity was performed in each case using three different types of drain selected in a randomized manner: a latex tubular drain, a Watterman tubulolaminar drain, and a silicone channeled drain. Drain permeability, contamination of the drained fluid, ease of handling, and patient discomfort were evaluated postoperatively over a period of 7 d. Results: The patients with the silicone channeled drain had larger volumes of drainage compared to patients with tubular and tubulolaminar drains between the third and seventh postoperative days. In addition, a lower incidence of discomfort and of contamination with bacteria of a more pathogenic profile was observed in the patients with the silicone channeled drain. Conclusion: The silicone channeled drain was more comfortable and had less chance of occlusion, which is important in the detection of delayed dehiscence. © 2009 The WJG Press and Baishideng. All rights reserved.