Patient-performed at-home surgical drain removal is safe and feasible following hernia repair and abdominal wall reconstruction.
Am J Surg
; 225(2): 388-393, 2023 02.
Article
in En
| MEDLINE
| ID: mdl-36167625
BACKGROUND: Traditionally, surgical drains are considered a relative contraindication to telemedicine-based postoperative care. We sought to assess the safety, feasibility, and outcomes of an at-home patient-performed surgical drain removal pilot program. METHODS: A prospective cohort study among patients who were discharged with surgical drains was performed. Patients discharged with drains were given the option for in-clinic, provider-performed removal, or at-home, patient-performed drain removal. Patient demographics, health characteristics, perioperative metrics, and operative outcomes were compared and analyzed. RESULTS: A total of 68 encounters with drain removal were included (at-home: 28%, n = 19; in-clinic: 72%, n = 49), with both groups having similar demographics, except for age (median age of telemedicine-based at-home: 50 vs in-clinic: 62 years, p = 0.03). Patients who opted into at-home, patient-performed drain removal were more likely to have drain removal occur earlier (9 vs 13 days for in-clinic, p < 0.001). In-clinic removal resulted in increased encounters with surgical nursing staff and increased travel time, with no significant difference in complication burden. CONCLUSIONS: Patient-performed at-home drain removal is safe and allows for more timely drain removal.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Abdominal Wall
Type of study:
Observational_studies
Limits:
Humans
/
Middle aged
Language:
En
Journal:
Am J Surg
Year:
2023
Document type:
Article
Affiliation country:
United States
Country of publication:
United States