The Experts below are selected from a list of 5415 Experts worldwide ranked by ideXlab platform
Martyn J Parker - One of the best experts on this subject based on the ideXlab platform.
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closed suction surgical Wound Drainage after hip fracture surgery a systematic review and meta analysis of randomised controlled trials
International Orthopaedics, 2008Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:There is still debate over the use of drains following hip fracture surgery. We have performed a systematic review and meta-analysis of the literature for randomised trials that related to the use of closed suction drains following hip fracture surgery. Six studies involving 664 patients were identified. There was no statistically significant difference in the occurrence of Wound healing complications, re-operations or requirement for blood transfusion between drained and un-drained Wounds. All other outcomes reported failed to show any benefit from the use of drains. Further randomised trials are required and until they have been undertaken the efficacy of closed surgical Drainage systems in hip fracture surgery is unknown.
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closed suction surgical Wound Drainage after anterior cruciate ligament reconstruction a systematic review of randomised controlled trials
Knee, 2007Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:Abstract There is still debate over the use of drains following anterior cruciate ligament reconstruction surgery. We have performed a systematic review of the literature for randomised trials that related to the use of closed suction drains following anterior cruciate ligament reconstruction surgery. Five studies involving 349 patients were identified. There was no significant difference in the occurrence of Wound healing complications, infections or the number of aspirations for haemarthrosis. There was also no difference in post-operative range of movement, functional score or incidence of limb swelling. The difference in pain scores varied between authors with some reporting increased pain in the drained group. All other outcomes reported failed to show any benefit for the use of drains. The authors recommend not using a drain following anterior cruciate ligament reconstruction with either Bone-Patellar Tendon-Bone or Quadrupled Hamstring graft.
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closed suction surgical Wound Drainage after orthopaedic surgery
Cochrane Database of Systematic Reviews, 2007Co-Authors: Martyn J Parker, Vicki Livingstone, Rupert Clifton, Andrew MckeeAbstract:Background Closed suction Drainage systems are frequently used to drain fluids, particularly blood, from surgical Wounds. The aim of these systems is to reduce the occurrence of Wound haematomas and infection. Objectives To evaluate the effectiveness of closed suction Drainage systems for orthopaedic surgery. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (March 2006), and contacted the Cochrane Wounds Group. We also searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, Issue 1), and MEDLINE (1966 to March 2006). Articles of all languages were considered. Selection criteria All randomised or quasi-randomised trials comparing the use of closed suction Drainage systems with no Drainage systems for all types of elective and emergency orthopaedic surgery. Data collection and analysis Two authors independently assessed trial quality, using a nine item scale, and extracted data. Where appropriate, results of comparable studies were pooled. Main results Thirty-six studies involving 5464 participants with 5697 surgical Wounds were identified. The types of surgery involved were hip and knee replacement, shoulder surgery, hip fracture surgery, spinal surgery, cruciate ligament reconstruction, open meniscectomy and fracture fixation surgery. Pooling of results indicated no statistically significant difference in the incidence of Wound infection, haematoma, dehiscence or re-operations between those allocated to drains and the un-drained Wounds. Blood transfusion was required more frequently in those who received drains. The need for reinforcement of Wound dressings and the occurrence of bruising were more common in the group without drains. Authors' conclusions There is insufficient evidence from randomised trials to support the routine use of closed suction Drainage in orthopaedic surgery. Further randomised trials with larger patient numbers are required for different operations before definite conclusions can be made for all types of orthopaedic operations.
Andrew Mckee - One of the best experts on this subject based on the ideXlab platform.
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closed suction surgical Wound Drainage after hip fracture surgery a systematic review and meta analysis of randomised controlled trials
International Orthopaedics, 2008Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:There is still debate over the use of drains following hip fracture surgery. We have performed a systematic review and meta-analysis of the literature for randomised trials that related to the use of closed suction drains following hip fracture surgery. Six studies involving 664 patients were identified. There was no statistically significant difference in the occurrence of Wound healing complications, re-operations or requirement for blood transfusion between drained and un-drained Wounds. All other outcomes reported failed to show any benefit from the use of drains. Further randomised trials are required and until they have been undertaken the efficacy of closed surgical Drainage systems in hip fracture surgery is unknown.
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closed suction surgical Wound Drainage after anterior cruciate ligament reconstruction a systematic review of randomised controlled trials
Knee, 2007Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:Abstract There is still debate over the use of drains following anterior cruciate ligament reconstruction surgery. We have performed a systematic review of the literature for randomised trials that related to the use of closed suction drains following anterior cruciate ligament reconstruction surgery. Five studies involving 349 patients were identified. There was no significant difference in the occurrence of Wound healing complications, infections or the number of aspirations for haemarthrosis. There was also no difference in post-operative range of movement, functional score or incidence of limb swelling. The difference in pain scores varied between authors with some reporting increased pain in the drained group. All other outcomes reported failed to show any benefit for the use of drains. The authors recommend not using a drain following anterior cruciate ligament reconstruction with either Bone-Patellar Tendon-Bone or Quadrupled Hamstring graft.
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closed suction surgical Wound Drainage after orthopaedic surgery
Cochrane Database of Systematic Reviews, 2007Co-Authors: Martyn J Parker, Vicki Livingstone, Rupert Clifton, Andrew MckeeAbstract:Background Closed suction Drainage systems are frequently used to drain fluids, particularly blood, from surgical Wounds. The aim of these systems is to reduce the occurrence of Wound haematomas and infection. Objectives To evaluate the effectiveness of closed suction Drainage systems for orthopaedic surgery. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (March 2006), and contacted the Cochrane Wounds Group. We also searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, Issue 1), and MEDLINE (1966 to March 2006). Articles of all languages were considered. Selection criteria All randomised or quasi-randomised trials comparing the use of closed suction Drainage systems with no Drainage systems for all types of elective and emergency orthopaedic surgery. Data collection and analysis Two authors independently assessed trial quality, using a nine item scale, and extracted data. Where appropriate, results of comparable studies were pooled. Main results Thirty-six studies involving 5464 participants with 5697 surgical Wounds were identified. The types of surgery involved were hip and knee replacement, shoulder surgery, hip fracture surgery, spinal surgery, cruciate ligament reconstruction, open meniscectomy and fracture fixation surgery. Pooling of results indicated no statistically significant difference in the incidence of Wound infection, haematoma, dehiscence or re-operations between those allocated to drains and the un-drained Wounds. Blood transfusion was required more frequently in those who received drains. The need for reinforcement of Wound dressings and the occurrence of bruising were more common in the group without drains. Authors' conclusions There is insufficient evidence from randomised trials to support the routine use of closed suction Drainage in orthopaedic surgery. Further randomised trials with larger patient numbers are required for different operations before definite conclusions can be made for all types of orthopaedic operations.
Rupert Clifton - One of the best experts on this subject based on the ideXlab platform.
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closed suction surgical Wound Drainage after hip fracture surgery a systematic review and meta analysis of randomised controlled trials
International Orthopaedics, 2008Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:There is still debate over the use of drains following hip fracture surgery. We have performed a systematic review and meta-analysis of the literature for randomised trials that related to the use of closed suction drains following hip fracture surgery. Six studies involving 664 patients were identified. There was no statistically significant difference in the occurrence of Wound healing complications, re-operations or requirement for blood transfusion between drained and un-drained Wounds. All other outcomes reported failed to show any benefit from the use of drains. Further randomised trials are required and until they have been undertaken the efficacy of closed surgical Drainage systems in hip fracture surgery is unknown.
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closed suction surgical Wound Drainage after anterior cruciate ligament reconstruction a systematic review of randomised controlled trials
Knee, 2007Co-Authors: Rupert Clifton, Andrew Mckee, S Haleem, Martyn J ParkerAbstract:Abstract There is still debate over the use of drains following anterior cruciate ligament reconstruction surgery. We have performed a systematic review of the literature for randomised trials that related to the use of closed suction drains following anterior cruciate ligament reconstruction surgery. Five studies involving 349 patients were identified. There was no significant difference in the occurrence of Wound healing complications, infections or the number of aspirations for haemarthrosis. There was also no difference in post-operative range of movement, functional score or incidence of limb swelling. The difference in pain scores varied between authors with some reporting increased pain in the drained group. All other outcomes reported failed to show any benefit for the use of drains. The authors recommend not using a drain following anterior cruciate ligament reconstruction with either Bone-Patellar Tendon-Bone or Quadrupled Hamstring graft.
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closed suction surgical Wound Drainage after orthopaedic surgery
Cochrane Database of Systematic Reviews, 2007Co-Authors: Martyn J Parker, Vicki Livingstone, Rupert Clifton, Andrew MckeeAbstract:Background Closed suction Drainage systems are frequently used to drain fluids, particularly blood, from surgical Wounds. The aim of these systems is to reduce the occurrence of Wound haematomas and infection. Objectives To evaluate the effectiveness of closed suction Drainage systems for orthopaedic surgery. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (March 2006), and contacted the Cochrane Wounds Group. We also searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, Issue 1), and MEDLINE (1966 to March 2006). Articles of all languages were considered. Selection criteria All randomised or quasi-randomised trials comparing the use of closed suction Drainage systems with no Drainage systems for all types of elective and emergency orthopaedic surgery. Data collection and analysis Two authors independently assessed trial quality, using a nine item scale, and extracted data. Where appropriate, results of comparable studies were pooled. Main results Thirty-six studies involving 5464 participants with 5697 surgical Wounds were identified. The types of surgery involved were hip and knee replacement, shoulder surgery, hip fracture surgery, spinal surgery, cruciate ligament reconstruction, open meniscectomy and fracture fixation surgery. Pooling of results indicated no statistically significant difference in the incidence of Wound infection, haematoma, dehiscence or re-operations between those allocated to drains and the un-drained Wounds. Blood transfusion was required more frequently in those who received drains. The need for reinforcement of Wound dressings and the occurrence of bruising were more common in the group without drains. Authors' conclusions There is insufficient evidence from randomised trials to support the routine use of closed suction Drainage in orthopaedic surgery. Further randomised trials with larger patient numbers are required for different operations before definite conclusions can be made for all types of orthopaedic operations.
P M Faris - One of the best experts on this subject based on the ideXlab platform.
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closed Wound Drainage in total hip or total knee replacement a prospective randomized study
Journal of Bone and Joint Surgery American Volume, 1994Co-Authors: M A Ritter, E M Keating, P M FarisAbstract:We prospectively randomized 415 total joint replacements for either a closed Wound-Drainage system or no postoperative Drainage. Drainage was not used in 200 total joint replacements, of which 138 were total knee replacements and sixty-two, total hip replacements. Drainage was used in 215 total joint replacements, of which 137 were total knee replacements and seventy-eight, total hip replacements. All patients were evaluated for the presence of excessive postoperative Drainage that necessitated cessation of the range-of-motion exercises, the amount of transfused blood (homologous and autologous), and the preoperative and postoperative hemoglobin levels. The range of motion was assessed daily in the patients who had a total knee replacement. No statistical difference was found in the number of patients who had excessive postoperative Drainage from a drained or non-drained Wound. There was also no statistical difference with respect to the amount of transfused blood and the preoperative and postoperative hemoglobin levels. Furthermore, in the patients who had a total knee replacement, there were no statistical differences between drained and non-drained Wounds with respect to the daily range of motion during the first seven days postoperatively. The mean amount of blood transfused was 157 milliliters in the total knee replacements with drains, 160 milliliters in the total knee replacements without drains, 188 milliliters in the total hip replacements with drains, and ninety-three milliliters in the total hip replacements without drains.(ABSTRACT TRUNCATED AT 250 WORDS)
Shmuel Dekel - One of the best experts on this subject based on the ideXlab platform.
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efficacy of closed Wound Drainage after total joint arthroplasty a prospective randomized study
Journal of Arthroplasty, 1997Co-Authors: D Ovadia, E Luger, Jacob Bickels, A Menachem, Shmuel DekelAbstract:Abstract The efficacy of closed suction drains following joint arthroplasty operations was prospectively evaluated in a randomized manner. All 88 patients allotted to primary knee or hip arthroplasty operations during a 6-month period were included in the study. Drains were used in 32 of 58 patients following total knee arthroplasty and in 18 of 30 total hip arthroplasties. No statistical difference was found in the hemoglobin levels measured following surgery and in the number of patients requiring blood transfusions between the two groups after total hip arthroplasty ( P = .06). The power of the test to detect a difference of 2 g% in hemoglobin levels is 94%. Two patients from each group had a transient serous discharge for 3 to 4 days following surgery and none had Wound infections. Significantly more blood transfusions were needed in patients with drains following total knee arthroplasty compared with patients without drains (0.7 unit per patient versus 0.2 unit per patient, P = .005) to maintain the same hemoglobin blood levels. Patients with no drains had significantly more transient sterile serous Wound discharge than patients with drains (38.4% vs 12.5%, P = .02). Superficial Wound infection necessitating antimicrobial medication developed in one patient with drains and in no patients in the other group. These results suggests that drains may not be needed following total hip arthroplasty. The more common serous Wound discharge may be of some concern when drains are not used following total knee arthroplasty.
