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J R Soc Med. 1989 November; 82(11): 661–664.
PMCID: PMC1292370

Is a drain necessary after colonic anastomosis?

Abstract

To date, there have been no clinical investigations of the usefulness of drains following colonic anastomosis in elective operations. We report a prospective study in which 49 patients were randomized to have a corrugated silastic drain (Portex) placed next to the colonic anastomosis. These patients were compared with a control group of 57 patients who had no drain. The two groups were similar in age, sex, diagnosis and site of anastomosis. There was no difference in outcome between the two groups. Anastomotic leakage occurred in six patients in each group. Wound infections were noted in 10 patients in each group. Two patients with a drain and one patient without a drain died from leakage at the anastomosis. This study provides no evidence to support the use of a corrugated drain after anastomosis of the colon.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Berliner SD, Burson LC, Lear PE. Intraperitoneal drains in surgery of the colon. Clinical evaluation of 454 cases. Am J Surg. 1967 May;113(5):646–647. [PubMed]
  • Canalis F, Ravitch MM. Study of healing of inverting and everting intestinal anastomoses. Surg Gynecol Obstet. 1968 Jan;126(1):109–114. [PubMed]
  • Manz CW, LaTendresse C, Sako Y. The detrimental effects of drains on colonic anastomoses: an experimental study. Dis Colon Rectum. 1970 Jan-Feb;13(1):17–25. [PubMed]
  • BERLINER SD, BURSON LC, LEAR PE. USE AND ABUSE OF INTRAPERITONEAL DRAINS IN COLON SURGERY. Arch Surg. 1964 Oct;89:686–689. [PubMed]
  • Smith SR, Connolly JC, Crane PW, Gilmore OJ. The effect of surgical drainage materials on colonic healing. Br J Surg. 1982 Mar;69(3):153–155. [PubMed]
  • Shorthouse AJ, Bartram CI, Eyers AA, Thomson JP. The water soluble contrast enema after rectal anastomosis. Br J Surg. 1982 Dec;69(12):714–717. [PubMed]
  • Lennox MS. Prophylactic drainage of colonic anastomoses. Br J Surg. 1984 Jan;71(1):10–11. [PubMed]
  • Fielding LP, Stewart-Brown S, Blesovsky L, Kearney G. Anastomotic integrity after operations for large-bowel cancer: a multicentre study. Br Med J. 1980 Aug 9;281(6237):411–414. [PMC free article] [PubMed]
  • Gillen P, Peel AL. Comparison of the mortality, morbidity and incidence of local recurrence in patients with rectal cancer treated by either stapled anterior resection or abdominoperineal resection. Br J Surg. 1986 May;73(5):339–341. [PubMed]
  • Vezeridis M, Evans JT, Mittelman A, Ledesma EJ. EEA stapler in low anterior anastomosis. Dis Colon Rectum. 1982 May-Jun;25(4):364–367. [PubMed]
  • McGinn FP, Gartell PC, Clifford PC, Brunton FJ. Staples or sutures for low colorectal anastomoses: a prospective randomized trial. Br J Surg. 1985 Aug;72(8):603–605. [PubMed]
  • Heald RJ. Towards fewer colostomies--the impact of circular stapling devices on the surgery of rectal cancer in a district hospital. Br J Surg. 1980 Mar;67(3):198–200. [PubMed]
  • Smith LE. Anastomosis with EEA stapler after anterior colonic resection. Dis Colon Rectum. 1981 May-Jun;24(4):236–242. [PubMed]
  • Robinson JO. Surgical drainage: an historical perspective. Br J Surg. 1986 Jun;73(6):422–426. [PubMed]

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