The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021)
Abstract Introduction Bariatric surgery, such as sleeve gastrectomy (SG) and gastric bypass, is a common option for weight loss in patients with obesity and metabolically ill individuals. However, complications like bleeding and leaks can occur. Surgeons often use intraoperative drains to detect the...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-025-02884-y |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849737803836948480 |
|---|---|
| author | Fatima az-Zahra Mohammed Thawabteh Taqwa Riad Abu Ghanieh Osama J. Makhamreh Khaled Alshawwa Bayan Fathi Al-Qtishat Ruba Maher Salameh Omar Abu Zaydeh |
| author_facet | Fatima az-Zahra Mohammed Thawabteh Taqwa Riad Abu Ghanieh Osama J. Makhamreh Khaled Alshawwa Bayan Fathi Al-Qtishat Ruba Maher Salameh Omar Abu Zaydeh |
| author_sort | Fatima az-Zahra Mohammed Thawabteh |
| collection | DOAJ |
| description | Abstract Introduction Bariatric surgery, such as sleeve gastrectomy (SG) and gastric bypass, is a common option for weight loss in patients with obesity and metabolically ill individuals. However, complications like bleeding and leaks can occur. Surgeons often use intraoperative drains to detect these issues, but their effectiveness is debated due to conflicting evidence. Our study aims to evaluate the benefits of intra-abdominal drains in detecting postoperative bleeding and leaks. Methods This is a retrospective cross-sectional study, with data from 494 patients who underwent bariatric surgery at the primary bariatric center in Palestine, between 2017 and 2021. Patient demographics, comorbidities, surgical complications, and drain usage were collected, managed, and analyzed using SPSS. Results The study included 494 patients, predominantly females (69.0%) with a median age of 39.5 years. Sleeve gastrectomy was the most common procedure (78.1%). Postoperative complications occurred in 3.0% of patients, with bleeding being the most prevalent (1.4%). Drain placement was routine (82.0%), but no significant correlation was found between drain output volume and signs of bleeding, such as heart rate and blood pressure. However, a weak inverse correlation was observed between volume for bloody drain character and hemoglobin levels on the first postoperative day. Conclusion Drains are commonly used in bariatric surgery; however, their effectiveness in detecting complications like bleeding and leaks remains uncertain. There was no association between drain output volume and signs of bleeding and leak complications, and the clinical assessment, especially the vital signs, is the most effective method in identifying postoperative issues. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-3e154150f1e7448d964dc992ac3b2973 |
| institution | DOAJ |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-3e154150f1e7448d964dc992ac3b29732025-08-20T03:06:48ZengBMCBMC Surgery1471-24822025-04-012511710.1186/s12893-025-02884-yThe role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021)Fatima az-Zahra Mohammed Thawabteh0Taqwa Riad Abu Ghanieh1Osama J. Makhamreh2Khaled Alshawwa3Bayan Fathi Al-Qtishat4Ruba Maher Salameh5Omar Abu Zaydeh6Medical Research Club, Faculty of Medicine, Al Quds UniversityMedical Research Club, Faculty of Medicine, Al Quds UniversityMedical Research Club, Faculty of Medicine, Al Quds UniversityGeneral surgeon, Al-Makassed Islamic Charitable Society HospitalNeurology Department, University of Arkansas for Medical SciencesMedical Research Club, Faculty of Medicine, Al Quds UniversityHepatopancreatobiliary surgeon, Al-Makassed Islamic Charitable Society HospitalAbstract Introduction Bariatric surgery, such as sleeve gastrectomy (SG) and gastric bypass, is a common option for weight loss in patients with obesity and metabolically ill individuals. However, complications like bleeding and leaks can occur. Surgeons often use intraoperative drains to detect these issues, but their effectiveness is debated due to conflicting evidence. Our study aims to evaluate the benefits of intra-abdominal drains in detecting postoperative bleeding and leaks. Methods This is a retrospective cross-sectional study, with data from 494 patients who underwent bariatric surgery at the primary bariatric center in Palestine, between 2017 and 2021. Patient demographics, comorbidities, surgical complications, and drain usage were collected, managed, and analyzed using SPSS. Results The study included 494 patients, predominantly females (69.0%) with a median age of 39.5 years. Sleeve gastrectomy was the most common procedure (78.1%). Postoperative complications occurred in 3.0% of patients, with bleeding being the most prevalent (1.4%). Drain placement was routine (82.0%), but no significant correlation was found between drain output volume and signs of bleeding, such as heart rate and blood pressure. However, a weak inverse correlation was observed between volume for bloody drain character and hemoglobin levels on the first postoperative day. Conclusion Drains are commonly used in bariatric surgery; however, their effectiveness in detecting complications like bleeding and leaks remains uncertain. There was no association between drain output volume and signs of bleeding and leak complications, and the clinical assessment, especially the vital signs, is the most effective method in identifying postoperative issues. Clinical trial number Not applicable.https://doi.org/10.1186/s12893-025-02884-yBariatric surgeryDrainBleeding detectionLeakComplicationsObesity |
| spellingShingle | Fatima az-Zahra Mohammed Thawabteh Taqwa Riad Abu Ghanieh Osama J. Makhamreh Khaled Alshawwa Bayan Fathi Al-Qtishat Ruba Maher Salameh Omar Abu Zaydeh The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) BMC Surgery Bariatric surgery Drain Bleeding detection Leak Complications Obesity |
| title | The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) |
| title_full | The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) |
| title_fullStr | The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) |
| title_full_unstemmed | The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) |
| title_short | The role of drain placement in post-bariatric surgery bleeding and leak detection: Palestinian main center experience (2017–2021) |
| title_sort | role of drain placement in post bariatric surgery bleeding and leak detection palestinian main center experience 2017 2021 |
| topic | Bariatric surgery Drain Bleeding detection Leak Complications Obesity |
| url | https://doi.org/10.1186/s12893-025-02884-y |
| work_keys_str_mv | AT fatimaazzahramohammedthawabteh theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT taqwariadabughanieh theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT osamajmakhamreh theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT khaledalshawwa theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT bayanfathialqtishat theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT rubamahersalameh theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT omarabuzaydeh theroleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT fatimaazzahramohammedthawabteh roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT taqwariadabughanieh roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT osamajmakhamreh roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT khaledalshawwa roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT bayanfathialqtishat roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT rubamahersalameh roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 AT omarabuzaydeh roleofdrainplacementinpostbariatricsurgerybleedingandleakdetectionpalestinianmaincenterexperience20172021 |