Publications

Authors:

Mengardo, Valentina; Weindelmayer, Jacopo; Veltri, Alessandro; Giacopuzzi, Simone; Torroni, Lorena; DE MANZONI, Giovanni; Agresta, Ferdinando; Alfieri, Rita; Alfieri, Sergio; Antonacci, Nicola; Luca Baiocchi, Gian; Bencini, Lapo; Bencivenga, Maria; Benedetti, Michele; Berselli, Mattia; Biondi, Alberto; Teresa Capolupo, Gabriella; Carboni, Fabio; Casadei, Riccardo; Casella, Francesco; Catarci, Marco; Cerri, Paolo; Chiari, Damiano; Cocozza, Eugenio; Colombo, Giovanni; Cozzaglio, Luca; Dalmonte, Giorgio; Degiuli, Maurizio; De Luca, Maurizio; De Luca, Raffaele; De Manzini, Nicol(`(o)); DE PASQUAL, CARLO ALBERTO; De Pascale, Stefano; De Ruvo, Nicola; DI COSMO, Mariantonietta; DI LEO, Alberto; Di Paola, Massimiliano; Elio, Amedeo; Ferrara, Francesco; Ferrari, Giovanni; Fiscon, Valentino; Fumagalli, Uberto; Garulli, Gianluca; Gennai, Andrea; Gentile, Irene; Germani, Paola; Gualtierotti, Monica; Guerini, Francesca; Gurrado, Angela; Inama, Marco; La Torre, Filippo; Laterza, Ernesto; Losurdo, Pasquale; Macr(`(i)), Antonio; Marano, Alessandra; Marano, Luigi; Marchesi, Federico; Marino, Fabio; Massani, Marco; Menghi, Roberta; Milone, Marco; Molfino, Sarah; Montuori, Mauro; Moretto, Gianluigi; Morgagni, Paolo; Morpurgo, Emilio; Abdallah, Moukchar; Nespoli, Luca; Olmi, Stefano; Palaia, Raffaele; Pallabazer, Giovanni; Parise, Paolo; Pasculli, Alessandro; Pericoli Ridolfini, Marco; Pesce, Antonio; Pinotti, Enrico; Pisano, Michele; Poiasina, Elia; Postiglione, Vittorio; Rausei, Stefano; Rella, Antonio; Rosa, Fausto; Rosati, Riccardo; Rossi, Gianmaria; Rossit, Luca; Rovatti, Massimo; Ruspi, Laura; DAL SACCO, Luca; Saladino, Edoardo; Sansonetti, Andrea; Sartori, Alberto; Scaglione, Donatella; Scaringi, Stefano; Schoenthaler, Christian; Sena, Giuseppe; Simone, Michele; Solaini, Leonardo; Strignano, Paolo; Tartaglia, Nicola; Testa, Silvio; Testini, Mario; Alberto Massimo Tiberio, Guido; Treppiedi, Elio; Vagliasindi, Alessio; Valmasoni, Michele; Vigan(`(o)), Jacopo; Zanchettin, Gianpietro; Zanoni, Andrea; Zardini, Claudio; Zerbinati and, Antonio

Title:

Current practice on the use of prophylactic drain after gastrectomy in Italy: the Abdominal Drain in Gastrectomy ({ADiGe}) survey

Year:

2022

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

UPDATES IN SURGERY

ISSN of journal:

2038-131X

N° Volume:

74

Number or Folder:

6

Page numbers:

1839-1849

Keyword:

Drain; Drainage; Gastrectomy; Gastric cancer; Survey; Humans; Gastrectomy; Drainage; Surveys and Questionnaires; Postoperative Complications; Stomach Neoplasms; Surgeons

Short description of contents:

Evidence against the use of prophylactic drain after gastrectomy are increasing and ERAS guidelines suggest the benefit of drain avoidance. Nevertheless, it is unclear whether this practice is still widespread. We conducted a survey among Italian surgeons through the Italian Gastric Cancer Research Group and the Polispecialistic Society of Young Surgeons, aiming to understand the current use of prophylactic drain. A 28-item questionnaire-based survey was developed to analyze the current practice and the individual opinion about the use of prophylactic drain after gastrectomy. Groups based on age, experience and unit volume were separately analyzed. Response of 104 surgeons from 73 surgical units were collected. A standardized ERAS protocol for gastrectomy was applied by 42% of the respondents. Most of the surgeons, regardless of age, experience, or unit volume, declared to routinely place one or more drain after gastrectomy. Only 2 (1.9%) and 7 surgeons (6.7%) belonging to high volume units, do not routinely place drains after total and subtotal gastrectomy, respectively. More than 60% of the participants remove the drain on postoperative day 4-6 after performing an assessment of the anastomosis integrity. Interestingly, less than half of the surgeons believe that drain is the main tool for leak management, and this percentage further drops among younger surgeons. On the other hand, drain's role seems to be more defined for duodenal stump leak treatment, with almost 50% of the surgeons recognizing its importance. Routine use of prophylactic drain after gastrectomy is still a widespread practice even if younger surgeons are more persuaded that it could not be advantageous.

Product ID:

130334

Handle IRIS:

11562/1079494

Last Modified:

February 23, 2023

Bibliographic citation:

Mengardo, Valentina; Weindelmayer, Jacopo; Veltri, Alessandro; Giacopuzzi, Simone; Torroni, Lorena; DE MANZONI, Giovanni; Agresta, Ferdinando; Alfieri, Rita; Alfieri, Sergio; Antonacci, Nicola; Luca Baiocchi, Gian; Bencini, Lapo; Bencivenga, Maria; Benedetti, Michele; Berselli, Mattia; Biondi, Alberto; Teresa Capolupo, Gabriella; Carboni, Fabio; Casadei, Riccardo; Casella, Francesco; Catarci, Marco; Cerri, Paolo; Chiari, Damiano; Cocozza, Eugenio; Colombo, Giovanni; Cozzaglio, Luca; Dalmonte, Giorgio; Degiuli, Maurizio; De Luca, Maurizio; De Luca, Raffaele; De Manzini, Nicol(`(o)); DE PASQUAL, CARLO ALBERTO; De Pascale, Stefano; De Ruvo, Nicola; DI COSMO, Mariantonietta; DI LEO, Alberto; Di Paola, Massimiliano; Elio, Amedeo; Ferrara, Francesco; Ferrari, Giovanni; Fiscon, Valentino; Fumagalli, Uberto; Garulli, Gianluca; Gennai, Andrea; Gentile, Irene; Germani, Paola; Gualtierotti, Monica; Guerini, Francesca; Gurrado, Angela; Inama, Marco; La Torre, Filippo; Laterza, Ernesto; Losurdo, Pasquale; Macr(`(i)), Antonio; Marano, Alessandra; Marano, Luigi; Marchesi, Federico; Marino, Fabio; Massani, Marco; Menghi, Roberta; Milone, Marco; Molfino, Sarah; Montuori, Mauro; Moretto, Gianluigi; Morgagni, Paolo; Morpurgo, Emilio; Abdallah, Moukchar; Nespoli, Luca; Olmi, Stefano; Palaia, Raffaele; Pallabazer, Giovanni; Parise, Paolo; Pasculli, Alessandro; Pericoli Ridolfini, Marco; Pesce, Antonio; Pinotti, Enrico; Pisano, Michele; Poiasina, Elia; Postiglione, Vittorio; Rausei, Stefano; Rella, Antonio; Rosa, Fausto; Rosati, Riccardo; Rossi, Gianmaria; Rossit, Luca; Rovatti, Massimo; Ruspi, Laura; DAL SACCO, Luca; Saladino, Edoardo; Sansonetti, Andrea; Sartori, Alberto; Scaglione, Donatella; Scaringi, Stefano; Schoenthaler, Christian; Sena, Giuseppe; Simone, Michele; Solaini, Leonardo; Strignano, Paolo; Tartaglia, Nicola; Testa, Silvio; Testini, Mario; Alberto Massimo Tiberio, Guido; Treppiedi, Elio; Vagliasindi, Alessio; Valmasoni, Michele; Vigan(`(o)), Jacopo; Zanchettin, Gianpietro; Zanoni, Andrea; Zardini, Claudio; Zerbinati and, Antonio, Current practice on the use of prophylactic drain after gastrectomy in Italy: the Abdominal Drain in Gastrectomy ({ADiGe}) survey «UPDATES IN SURGERY» , vol. 74 , n. 6 , 2022 , pp. 1839-1849

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo