Comparative study between closed suction surgical wound drainage after hip fracture surgery and using no drainage / Ahmad Salah Eldin Afifi ; Supervised Ahmad Ahmad Nabawy Morrah , Walid Ebeid , Mahmoud M. Abdelkarim

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

In this study we found that there is no statistically significant difference between both groups regarding the need for reinforcement of the dressing, degree of haematoma, pyrexia after operation, postoperative blood loss and subsequent need for blood transfusion, infection and ROM and in order to invalidate the deep rooted beliefs in orthopaedic surgeons about drain we proposed three questions. First one -and the primary outcome measure in investigating that topic as it should be- is: 2Is there is any difference regarding the incidence of wound infection?3 This study and other studies reported no statistically significant difference²{u⁰⁰⁹²}⁵{u⁰⁰⁹²}³⁷{u⁰⁰⁹²}³⁸{u⁰⁰⁹²}⁴¹{u⁰⁰⁹²}⁴⁶⁻⁵³ .Second one {u2013}which is a very serious general health problem-, is: 2What about the blood loss and the subsequent need for blood transfusion and its known risks especially in the developing countries?3 {u2018}{u2019}At best, their use appears to make no difference to rates of transfusion, and, at worst, may increase the need for transfusion².{u2019}{u2019} Five studies ⁵{u⁰⁰⁹²}⁴¹{u⁰⁰⁹²}⁴⁹⁻⁵¹ found no statistically significant difference and 3 studies2,52,53 found statistically significant difference where blood transfusion was needed more in the drainage group. So it could be concluded that; closed surgical drainage systems reduce the need for reinforcement of the dressing, but increase the need for blood transfusion.

Issued also as CD