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Does Drain Placement Reduce the Risk of Peri-Graft Collections and Wound Complications After Kidney Transplant?

S. Cimen,1 S. Cimen,1 K. Tennankore,2 A. Imamoglu,3 I. Alwayn.1

1Department of Surgery, Dalhousie University, Halifax, NS, Canada
2Department of Nephrology, Dalhousie University, Halifax, NS, Canada
3Department of Urology, Yildirim Beyazit EAH, Ankara, Turkey.

Meeting: 2016 American Transplant Congress

Abstract number: C245

Keywords: Kidney transplantation, Post-operative complications

Session Information

Session Name: Poster Session C: Poster Session 1: Kidney Complications-Other

Session Type: Poster Session

Date: Monday, June 13, 2016

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Halls C&D

Introduction: Peri-graft collections and wound complications are common after kidney transplantation. Currently, it is unclear whether intraoperative drain placement can reduce the risk of peri-graft collections and wound complications. The aim of this study was to determine whether drain placement had any effect on the risk of these complications following kidney transplantation. Methods: Adult patients who underwent kidney transplant surgery in our centre between January 2006 and December 2014 were included. Information regarding absence/presence of a drain and outcomes of peri-graft collection and wound complication during the first postoperative month were collected. The effect of drain versus no-drain on outcomes was analyzed using logistic regression after adjustment for baseline patient characteristics including age, cause of end-stage renal disease, diabetes status, pre-transplant dialysis status, dialysis modality, body mass index, albumin level and donor type for each patient. Results: There was no significant difference between 'drain' (n=374) and 'no drain' (n=283) groups for all baseline patient characteristics except for cause of end-stage renal disease. Peri-graft collections and wound complications were detected in 28% (n=185) and 13% (n=88) of the entire cohort respectively. The risk of peri-graft collection was significantly reduced by the presence of a drain after multivariable adjustment (odds ratio 0.63, 95% CI [0.44-0.90], p=0.011). The risk of wound complications was similar for those with a drain versus without a drain (odds ratio 0.68, 95% CI 0.42-1.09, p=0.112). Among the 223 patients with any complication (peri-graft collection and/or wound complication) the rate of subsequent intervention (percutaneous drainage tube insertion, vacuum assisted closure therapy or surgery) to treat that particular complication was the same for those with or without a drain (odds ratio 1.01, 95% CI 0.54-1.88. p=0.982). Conclusion: Placing a drain does not seem to have a statistically significant effect on wound complications in kidney transplant patients. Although it reduces the risk of peri-graft collections, it does not appear to reduce the rate of clinically significant peri-graft collections.

CITATION INFORMATION: Cimen S, Cimen S, Tennankore K, Imamoglu A, Alwayn I. Does Drain Placement Reduce the Risk of Peri-Graft Collections and Wound Complications After Kidney Transplant? Am J Transplant. 2016;16 (suppl 3).

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To cite this abstract in AMA style:

Cimen S, Cimen S, Tennankore K, Imamoglu A, Alwayn I. Does Drain Placement Reduce the Risk of Peri-Graft Collections and Wound Complications After Kidney Transplant? [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/does-drain-placement-reduce-the-risk-of-peri-graft-collections-and-wound-complications-after-kidney-transplant/. Accessed May 9, 2025.

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