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Surgeon’s Corner
Benefit of Negative Pressure Drain Within Surgical Wound After Cytoreductive Surgery for Ovarian Cancer
  1. Se Ik Kim, MD*,†,
  2. Myong Cheol Lim, MD, PhD*,‡,
  3. Hyo Sook Bae, MD, PhD*,
  4. Se Ra Shin, RN, MSN, WOCN*,
  5. Sang-Soo Seo, MD, PhD*,
  6. Sokbom Kang, MD, PhD*,‡ and
  7. Sang-Yoon Park, MD, PhD*,‡
  1. *Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, Goyang;
  2. †Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul; and
  3. ‡Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, Goyang, Republic of Korea.
  1. Address correspondence and reprint requests to Sang-Yoon Park, MD, PhD, and Myong Cheol Lim, MD, PhD, Center for Uterine Cancer and Gynecologic Cancer Branch, Research Institute and Hospital, National Cancer Center, 323, Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 410–769, Republic of Korea. E-mail: parksang{at}ncc.re.kr; mclim{at}ncc.re.kr.

Abstract

Objective The objective of this study was to investigate the efficacy of subcutaneous negative-pressure wound drains on wound healing after cytoreductive surgery for ovarian cancer.

Methods A retrospective study was performed on patients who underwent cytoreductive surgery for epithelial ovarian cancer, between 2012 and 2013. The patients were divided into 2 groups, according to using (n = 163) and not using (n = 37) of subcutaneous wound drains, and wound outcomes were analyzed.

Results Patients’ characteristics were not statistically different, except for the prolonged operative time in patients with wound drains (median, 395 vs 240 minutes; P = 0.001). A lower rate of wound infection (12.9% vs 27.0%; P = 0.032) was observed in the drain group. In the multivariate analysis, placement of subcutaneous wound drain was an independent prognostic factor for reducing wound complications: disruption (odds ratio [OR], 0.367; 95% confidence interval [CI], 0.145–0.929; P = 0.034) and wound infection (OR, 0.198; 95% CI, 0.068–0.582; P = 0.003). Bowel surgery at the time of cytoreductive surgery and prolonged operative time (≥360 minutes) were also associated with higher rates of disruption (OR, 2.845; 95% CI, 1.111–7.289; P = 0.029) and wound infection (OR, 4.212; 95% CI, 1.273–13.935; P = 0.019), respectively.

Conclusions Installation of subcutaneous negative-pressure wound drain is an effective method to achieve clearer wound healing and less wound complications after cytoreductive surgery for ovarian cancer.

  • Wound drain
  • Wound complications
  • Surgical site infection
  • Ovarian cancer

https://doi.org/10.1097/IGC.0000000000000315

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    Footnotes

    • The authors declare no conflicts of interest.