Thawabteh Fatima Az-Zahra Mohammed, Ghanieh Taqwa Riad Abu, Makhamreh Osama J, Alshawwa Khaled, Al-Qtishat Bayan Fathi, Salameh Ruba Maher, Zaydeh Omar Abu
Medical Research Club, Faculty of Medicine, Al Quds University, Jerusalem, Palestine.
General surgeon, Al-Makassed Islamic Charitable Society Hospital, Jerusalem, Palestine.
BMC Surg. 2025 Apr 7;25(1):138. doi: 10.1186/s12893-025-02884-y.
Bariatric surgery, such as sleeve gastrectomy (SG) and gastric bypass, is a common option for weight loss in patients with obesity and metabolically ill individuals. However, complications like bleeding and leaks can occur. Surgeons often use intraoperative drains to detect these issues, but their effectiveness is debated due to conflicting evidence. Our study aims to evaluate the benefits of intra-abdominal drains in detecting postoperative bleeding and leaks.
This is a retrospective cross-sectional study, with data from 494 patients who underwent bariatric surgery at the primary bariatric center in Palestine, between 2017 and 2021. Patient demographics, comorbidities, surgical complications, and drain usage were collected, managed, and analyzed using SPSS.
The study included 494 patients, predominantly females (69.0%) with a median age of 39.5 years. Sleeve gastrectomy was the most common procedure (78.1%). Postoperative complications occurred in 3.0% of patients, with bleeding being the most prevalent (1.4%). Drain placement was routine (82.0%), but no significant correlation was found between drain output volume and signs of bleeding, such as heart rate and blood pressure. However, a weak inverse correlation was observed between volume for bloody drain character and hemoglobin levels on the first postoperative day.
Drains are commonly used in bariatric surgery; however, their effectiveness in detecting complications like bleeding and leaks remains uncertain. There was no association between drain output volume and signs of bleeding and leak complications, and the clinical assessment, especially the vital signs, is the most effective method in identifying postoperative issues.
Not applicable.
减重手术，如袖状胃切除术（SG）和胃旁路手术，是肥胖患者和代谢性疾病患者常见的减肥选择。然而，可能会出现出血和渗漏等并发症。外科医生通常使用术中引流管来检测这些问题，但由于证据相互矛盾，其有效性存在争议。我们的研究旨在评估腹腔引流管在检测术后出血和渗漏方面的益处。
这是一项回顾性横断面研究，数据来自2017年至2021年期间在巴勒斯坦主要减重中心接受减重手术的494例患者。使用SPSS收集、管理和分析患者的人口统计学、合并症、手术并发症和引流管使用情况。
该研究纳入了494例患者，以女性为主（69.0%），中位年龄为39.5岁。袖状胃切除术是最常见的手术方式（78.1%）。3.0%的患者发生了术后并发症，其中出血最为常见（1.4%）。引流管放置是常规操作（82.0%），但引流液量与出血迹象（如心率和血压）之间未发现显著相关性。然而，术后第一天血性引流液特征的量与血红蛋白水平之间观察到微弱的负相关。
引流管在减重手术中常用；然而，其在检测出血和渗漏等并发症方面的有效性仍不确定。引流液量与出血和渗漏并发症迹象之间没有关联，临床评估，尤其是生命体征，是识别术后问题的最有效方法。
不适用。
