“A Comparitive Study Between Patients of Small and Large Bowel Perforation Managed by Stomas with Drains and Without Drains”

Abstract

BACKGROUND:

Many surgeons even in this modern day frequently implant a drain tube without any specific justification. For the pleasure of the surgeons, it is often retained with a blind rationale. Drains are positioned to observe bleeding, pus inside the abdomen, reactive effusion, leak detection, and surgeon satisfaction. Infection, local discomfort, omental prolapse, and hernia at the drain tube site are among the several drain-related problems that can occur simultaneously. In order to understand the true nature of a drain tube, this research was designed, and patients were followed up after surgery.

MATERIALS & METHODS:

Study location was in department of surgery, Meenakshi medical college hospital & research institute with a duration of 1 year from sept 2022 to August 2023 with a sample size of 50 individuals . Before any participant is enrolled in the research, their written informed consent will be sought. All patients receive in-depth examinations. Randomization was used to split the patients into two groups, GROUP A and GROUP B. Group B patients will not receive a drain tube, but group A patients will. Following surgery, every patient had a routine examination to assess complications, mobility, and length of hospital stay. For a duration of two months, every patient was monitored. All study-related information will be documented using the pre-made proforma that is listed below.

RESULTS:

The goal of the study was to compare the post-operative recovery times of individuals who had and did not have drain tubes. Patients were followed after surgery, and groups were assigned at random. A number of factors were tracked in both research groups, including length of hospital stay, reoperation, patient mobility, and problems linked to or unrelated to the drain. The displayed graphs and tables above display the observations. Even if the percentages between the two groups differ, it demonstrates that there is no statistically significant difference in DT-unrelated sequelae such as wound infection, abscess, electrolyte imbalance, and ruptured abdomen. Additionally, there is no statistically significant difference between the two groups' hospital stays' duration, the number of patients requiring repeat surgery, or their mobility. 60% of patients reported discomfort at the drain tube site, 16% reported an infection, 8% reported a hernia, and 4% reported omental prolapse at the drain tube site. Despite the lack of statistical significance for drain-related problems in the two groups, patients with drain tubes experienced drain-related issues that only had an impact on their post-operative recovery, without altering other complications, mobility, or length of hospital stay.

CONCLUSION:

When it comes to patients with ostomies (stomas) who have minor or large bowel perforations with peritonitis (apart from duodenal perforations), DRAIN TUBES DO NOT MATTER in the post-operative phase; on the contrary, they create needless difficulties associated to drains. The patient's mobility, the likelihood of repeat surgery, problems unrelated to the drain, and the length of hospital stay are all unaffected by the drain tube.