A scientific assessment and meta-analysis of wound drains in non-instrumented lumbar decompression surgical procedure.
J Clin Neurosci. 2018 Apr 18;:
Authors: Davidoff CL, Rogers JM, Simons M, Davidson AS
Wound drains are routinely utilized in lumbar decompressive surgical procedure (LDS). Nonetheless, it stays unclear whether or not this observe helps to stop symptomatic epidural hematoma formation and related issues, significantly following non-instrumented procedures. A scientific assessment and meta-analysis was subsequently accomplished to critically appraise the literature. The search protocol was carried out utilizing the Ovid MEDLINE, EMBASE, Scopus, Cochrane Library, and Google Scholar databases. Articles assembly the next standards have been included: (i) examined sufferers present process LDS; (ii) included circumstances receiving post-operative wound drains; (iii) detailed opposed outcomes together with symptomatic epidural hematomas or wound an infection; and (iv) have been revealed in English in a peer-reviewed journal. Pooled threat variations (RD) for opposed outcomes have been calculated utilizing Complete Meta-Evaluation software program. Three Stage 1b potential randomized research and 5 Stage 2b retrospective cohort research have been included, from which 5327 circumstances have been recognized as having acquired a surgical drain and 773 have been recognized as having acquired no drainage following non-instrumented LDS. There was no distinction between teams within the threat of symptomatic epidural hematoma (RD?=?Zero.02; 95% CI -Zero.02?-?Zero.06, p?=?Zero.28) or post-operative an infection (RD?=?Zero.00; 95% CI -Zero.01?-?Zero.01, p?=?Zero.91). In conclusion, symptomatic epidural hematomas and an infection are uncommon following non-instrumented LDS, with incidence charges unaffected by the routine use of wound drainage.
PMID: 29680443 [PubMed – as supplied by publisher]