Role of Abdominal Drain in Early Peptic Perforation: A Prospective Study from a Tertiary Care Hospital
Paramita Thander, Indranil Das, Mitrajit Mallick, Biswajit Mondal, Debjani Das, Pankaj K. Halder
A
BSTRACT
Background:
The routine placement of abdominal drains following repair of a perforative peptic ulcer may serve both therapeutic and prophylactic purposes. However, the efficacy of abdominal drains is still up for discussion. Aims: This study evaluates the role of abdominal drains in the management of early peptic perforations.
Methods:
This prospective study included 66 patients who were admitted for perforative peptic ulcer at our medical college hospital during the study period. The patients were managed by standard surgical procedure (with or without abdominal drain). Patients were divided into two groups: the Drain Group, which had an abdominal drain inserted after surgery, and the No-Drain Group, which did not. Their postoperative outcomes in terms of complications, duration of hospital stay, and drain-related complications were noted and analyzed.
Results:
The mean age of patients was 38.57 years, with a male-to-female ratio of 2.5:1. Postoperative fever occurred in 50% of the Drain Group and 20% of the No-Drain Group (
Conclusion:
Routine placement of abdominal drains in early peptic perforation surgery is associated with higher rates of postoperative fever, postoperative SSI, and longer hospital stays.