To drain or not to drain: A propensity score analysis of abdominal drainage after colorectal surgery for endometriosis.
Eur J Obstet Gynecol Reprod Biol
; 297: 227-232, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38691975
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 (11 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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Drenagem
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Endometriose
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Pontuação de Propensão
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Eur J Obstet Gynecol Reprod Biol
/
Eur. j. obstet. gynecol. reprod. biol
/
European journal of obstetrics gynecology and reproductive biology
Ano de publicação:
2024
Tipo de documento:
Article