Causes and complications related to the use of drains: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i7.42667

Keywords:

Surgical wound infection; Surgical equipment; Postoperative complications.

Abstract

Introduction: The recovery of the surgical patient depends on numerous factors, but mainly on the occurrence of complications, thus increasing the risk of reoperation, increasing the length of hospital stay and increasing morbidity and mortality. Objective: To identify the causes and complications related to the use of drains. Methodology: This study is an integrative literature review. The elaboration of the methodological survey for the research was carried out in the period of April 2023, the databases used were the Latin American and Caribbean Literature in Health Science (LILACS), Nursing Database (BDENF) and Medical Literature Analysis and Retrieval System Online (MEDLINE), using Health Sciences Descriptors (DeCS), namely: Surgical wound infection; Surgical equipment and postoperative complications, being used in the English language to have a greater number of studies, being crossed with the Boolean AND operator. Results: The selected studies presented content on the relationship between infection associated with the implementation of drains, the surgical site and the functionality of drains and their care against the development of infections. With that, drainage, but precisely the thoracic insertion is considered a clinical practice most used among procedures. Conclusion: With this, the causes and complications related to the use of drains in surgical procedures, pointing out the causes such as the poor positioning of the drain, the lack of adequate monitoring by the health team and in relation to the complications, the risks of infections, even pleural effusion, due to extravasation of the liquid content to be drained.

References

Andrade, S. R. Ruoff, A. B., Piccoli, T., Schmitt, M. D., Ferreira, A., & Xavier, A. C. A. (2017). O estudo de caso como método de pesquisa em enfermagem: uma revisão integrativa. Texto & Contexto, 24(4). https://doi.org/10.1590/0104-07072017005360016

Azambuja, M. I. et al. (2021). Drenagem torácica. Revista de Ciências da Saúde. Vittalle. 33(1):147-158. https://doi.org/10.14295/vittalle.v33i1.11619

Cavalcanti, K. S. (2021). Cuidados de enfermagem no manuseio de drenos de tórax na profilaxia de agravos. Brazilian Journal of Development. 7(11). 10.34117/bjdv7n11-415

Cavalcanti, K. S. et al. (2021). Cuidados de enfermagem no manuseio de drenos de tórax na profilaxia de agravos. Brazilian Journal of Development. 7(11). https://doi.org/10.34117/bjdv7n11-415

Coleta, D. Basso, C. D. Giuliani, G. & Guerra, F. (2019). Subcutaneous suction drains do not prevent surgical site infections in clean-contaminated abdominal surgery-results of a systematic review and meta-analysis. Langenbeck s archives of surgery. 404(6):663-668. https://doi.org/10.1007/s00423-019-01813-x.

Hempel, S. et al. (2021). Wound complications after primary and repeated midline, transverse and modified Makuuchi incision. Medicine. 100(20). http://dx.doi.org/10.1097/MD.0000000000025989

Lúcio, V.V., & Araújo, A.P.S. Assistência de Enfermagem na Drenagem Torácica: Revisão de Literatura. UNOPAR Cient Ciênc Biol Saúde. p. 307-314. 2011.

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto-Enfermagem, 17(4), 758-764. https://doi.org/10.1590/S0104-07072008000400018

Morais, R. M. Oliveira, I. K. & Marques, K. M. A. P. (2022). Cuidados de enfermagem para a prevenção de complicações anestésico-cirúrgicas no pós-operatório imediato. SANARE. 21(2):53-60. https://doi.org/10.36925/sanare.v21i2.1637

Ouzzani M; et al. (2016). Rayyan-a web and mobile app for systematic reviews. Syst. Revis. 5(1). https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0384-4#citeas.

Ornellas, B. N. et al. (2021). Boas práticas de enfermagem na utilização de dreno de tórax: revisão integrativa. Global Academic Nursing Journal. (Sup.2):e173. https://globalacademicnursing.com/index.php/globacadnurs/article/view/166/355

Pantoja, G. K. C. et al. (2021). Drenos torácicos mal posicionados diagnosticados por exame de imagem. Research, Society and Development. 10(4). http://dx.doi.org/10.33448/rsd-v10i4.14135

Patel, A. et al. (2020). Low complication rates using closed-incision negative-pressure therapy for panniculectomies: a single-surgeon, retrospective, uncontrolled case series. Plastic and reconstructive surgery. 146(2):390-397. 10.1097/PRS.0000000000007026

Pennington, Z. et al. (2019). Prolonged post-surgical drain retention increases risk for deep wound infection after spine surgery. 130. http://dx.doi.org/10.1016/j.wneu.2019.07.013.

Poprzeczny, A. J. et al. (2020). Skin and subcutaneous fascia closure at caesarean section to reduce wound complications: the closure randomised trial. BMC Pregnancy Childbirth. 20:606. 10.1186/s12884-020-03305-z

Sousa, A.F.L. et al. Monitoring of postoperative complications in the home environment. Rene. 21:1-8. http://periodicos.ufc.br/rene/article/view/43161

Sousa, L. M., Marques-Vieira, C., Severino, S., & Antunes, V. (2017). Metodologia de Revisão Integrativa da Literatura em Enfermagem. Rev. Investigação em Enf. 17-26.

Souza, M. T., Silva, M. D. & Carvalho, R. (2010) Revisão integrativa: o que é e como fazer? Einstein. 8, 102-106. https://doi.org/10.1590/S1679-45082010RW1134

Spatenkova, V. et al. (2023). Incidence of surgical site infections after cervical spine surgery: results of a single-center cohort study adhering to multimodal preventive wound control protocol. 33(5):1997-2004. 10.1007/s00590-022-03379-9

Vilefort, L. A. (2021). Principais complicações pós-complicações pós-operatórias: revisão narrativa. Revista eletrônica acervo científico. 36. https://doi.org/10.25248/reac.e8853.2021

Published

31/07/2023

How to Cite

OLIVEIRA, R. D. .; MACÊDO, A. H. S. de; COSTA, A. C. A.; MEDEIROS FILHO, R. de S. .; MOCITAIBA, L. da S. R. .; COSTA, Y. M. A. da .; ALMEIDA, F. T. de .; NASER, S. S. H. .; PACHECO, A. M. da S. .; FREITAS, Àlex E. D. L. de .; ALMEIDA, . F. T. de . Causes and complications related to the use of drains: A literature review. Research, Society and Development, [S. l.], v. 12, n. 7, p. e17312742667, 2023. DOI: 10.33448/rsd-v12i7.42667. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42667. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences