The Effect of Routine Drain Use After Benign Laparoscopic Hysterectomy on Morbidity

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Acta Medica Nicomedia
Cilt: 8 Sayı: 3
The Effect of Routine Drain Use After Benign Laparoscopic Hysterectomy on Morbidity

The Effect of Routine Drain Use After Benign Laparoscopic Hysterectomy on Morbidity

Authors : İşik Kaban, Zeynep Ece Utkan Korun

Pages : 396-399

Doi:10.53446/actamednicomedia.1791807

View : 31 | Download : 16

Publication Date : 2025-10-22

Article Type : Research Paper

Abstract :Objective: This study sought to assess the perioperative and postoperative outcomes of patients undergoing total laparoscopic hysterectomy (TLH) for benign conditions, with routine drain placement. Methods: A retrospective review was conducted on ninety-nine patients who underwent TLH for benign indications between September 2022 and August 2023. Exclusion criteria included patients with premalignant or malignant pathology, a history of pelvic surgery other than cesarean section, systemic comorbidities, and incomplete data. All procedures were performed by the same surgical team utilizing standard laparoscopic techniques. Data collected included demographic information, operation duration, hemoglobin (Hb) changes, drainage volume, drain retention time, complications, and length of hospital stay. Results: The mean age of the patients was 47.6 years, with treatment-resistant uterine bleeding being the most common surgical indication (59% of patients). The mean operation time was 89 minutes. The average decrease in Hb was 1.1 g/dL, with no transfusions required. The mean drainage volume was 68 mL, with only one patient exceeding 300 mL. Drains were typically removed within the first 24 hours. Major complications occurred in two patients (2%): trocar site bleeding and ureteral injury, both of which were promptly identified and managed due to drain findings. The mean hospital stay was 1.3 days. Conclusion: Routine drain use following TLH does not reduce overall morbidity. While drains facilitate early detection of rare complications, they do not confer additional benefits in low-risk cases and may adversely affect patient comfort. Consequently, selective rather than routine drain use appears more appropriate.
Keywords : Total laparoskopik histerektomi, dren, morbidite, komplikasyon, laparoskopi

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