Wound complications are common complications after kidney transplantation. We sought to determine whether the placement of a drain was associated with a decreased incidence of wound complications.
A retrospective study between 2001 to 2008, comparing kidney transplant patients who were drained or not drained. Known risk factors for wound issues (DGF, DM, BMI, and donor statistics) were statistically adjusted between the two groups. Patients received calcineurin inhibitors, steroids and mycophenolate. In order to facilitate statistical analysis, seroma, lymphocele, and perigraft fluid collections were combined as the variable wound collections; and wound dehiscence, hematomas, evisceration, infections, wound necrosis, and hernias were combined as the variable wound complication. A logistic regression analysis was run to compare the drained (D) and not drained (ND) groups. Patients with incomplete data or taking Sirolimus were excluded.
680 kidney transplantations were reviewed. 479 in the D group; 201 in the ND group. Wound collections were observed 6/479(2.99%) in the D group compared to 9/201(1.88%) in the ND (p = 0.37). Wound complications were noted in 17/479 (8.46%) in the D group and 58/201 (12.18%) in the ND group (p = 0.16).We corrected for known risk factors such as DGF, DM, BMI, and donor statistics. There was no statistically significant difference between the two groups in terms of wound complications and wound collections.
Drain placement does not prevent wound complications; even in high risk patients.
To cite this abstract in AMA style:Sidebottom R, Parsikia A, Chang P, Berhane Z, Campos S, Khanmoradi K, Zaki R, Ortiz J. Effect of Drain Placement on the Rate of Wound Complications in Kidney Transplantation, The [abstract]. Am J Transplant. 2013; 13 (suppl 5). https://atcmeetingabstracts.com/abstract/effect-of-drain-placement-on-the-rate-of-wound-complications-in-kidney-transplantation-the/. Accessed March 31, 2020.
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