1. To drain or not to drain: A propensity score analysis of abdominal drainage after colorectal surgery for endometriosis.
- Author
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Crestani, Adrien, de Labrouhe, Eric, Le Gac, Marjolaine, Kolanska, Kamila, Ferrier, Clément, Touboul, Cyril, Dabi, Yohann, and Darai, Emile
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PROCTOLOGY , *ENDOMETRIOSIS , *PROPENSITY score matching , *DRAINAGE , *REOPERATION , *SURGICAL drainage - Abstract
• After a colorectal surgery for endometriosis in an expert center, 70% of patients had left the operating room with a prophylactic abdominal drainage. • Nine percent of the patients experienced a severe postoperative complication (Clavien Dindo ≥ II). • After propensity score matching, the presence of an abdominal drainage was significantly associated with a longer hospital stay. • After propensity score matching, the presence of an abdominal drainage was significantly associated with a higher rate of postoperative complications. To assess the benefit of prophylactic abdominal drainage (AD) after colorectal surgery for endometriosis. We conducted a retrospective study of 215 patients who underwent colorectal surgery for endometriosis using a mini-invasive approach in our center from February 2019 to July 2023. A propensity score matched (PSM) analysis (1:1 ratio) identified two groups of patients with similar characteristics. Postoperative outcomes were then compared. In the unmatched cohort, 151 patients (70 %) had AD at the end of surgery and 64 (30 %) did not. Clinical characteristics and surgical procedures were comparable between the groups after PSM. After PSM, AD was associated with a longer hospital stay (p < 0.001) and a greater number of postoperative complications (p = 0.03). There were no differences for readmission, repeat surgery, or severe postoperative complications. In this retrospective cohort of patients undergoing colorectal resection for endometriosis using a mini-invasive approach, prophylactic AD was not found to be beneficial. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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