Does the Usage of Drains Create a Risk of Surgical Site Infection During Breast Surgery? Meme Ameliyatlarında Dren Kullanımı Cerrahi Alan Enfeksiyonu Riski Oluşturur mu?

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Gün Koplay T., Güzel A.

Genel Tip Dergisi, cilt.33, sa.5, ss.599-602, 2023 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 5
  • Basım Tarihi: 2023
  • Doi Numarası: 10.54005/geneltip.1342669
  • Dergi Adı: Genel Tip Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.599-602
  • Anahtar Kelimeler: Breast surgery, Drain, Surgical site infection
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aim: Drains are used to avoid hematoma, seroma and infection in breast surgery. A topic of debate in breast surgery research is the probability of surgical sites becoming infected through retrograde contamination. In this study, we aimed to determine whether drains cause surgical site infections by using drain tip cultures. Material and Methods: This study included 99 patients 162 breasts of whom had undergone breast surgeries, including augmentation, reduction, reconstruction and gynecomastia, by the same surgeon. Data on the patients’ demographic characteristics, clinical findings, antibiotherapies, types of surgeries and drain features such as type, duration of use, output volume and tip cultures were collected. Results: The study included 99 patients—3 male, 96 female—with a mean age of 37.84. The mean body mass index was 24.5. Seven breast augmentations, three gynecomastia surgeries, 37 breast reconstructions with implants, three breast reconstructions with latissimus dorsi flaps and 49 reduction mammoplasties were performed. We did not observe infectious symptoms such as fever, hyperemia, abscess or hematoma in any of the patients. Fifty-six Jackson–Pratt® drains and 106 Hemovac drain tip cultures were evaluated. The mean follow-up duration was 7.16 days, and the mean output volume was 224.66 cc. The drain tip cultures of all the patients were negative. Conclusions: According to our analysis, drains did not cause retrograde contamination or surgical site infection.