Effectiveness of hemovacum drain in orthopedic operations related to trauma


Alireza Saied 1 , * , Afshin Zyaei 2

1 Kerman Neurosciences Research Center, Kerman University of Medical Sciences, Kerman, Iran.

2 Assistant Professor Department of Orthopedics, Kerman University of Medical Sciences, Kerman, Iran.

How to Cite: Saied A, Zyaei A. Effectiveness of hemovacum drain in orthopedic operations related to trauma, Hormozgan Med J. 2008 ; 12(3):e88958.


Hormozgan Medical Journal: 12 (3); e88958
Published Online: May 01, 2008
Article Type: Research Article
Received: November 21, 2006
Accepted: May 01, 2008


Introduction: The application of droun in clean orthopedic operations takes place
usually without a scientific basis. The purpose of the present study is to evaluate
the hemovacum drain efficacy in some of orthopedic operations related to trauma.
Methods: In this experimental trial, 141 patients who were admitted to Dr.
Bahonar Hospital, between September 2004 to April 2005, for surgical operations
related to trauma, were randomly divided into two groups. In the first group (102
wounds), a single hemovacum drain was inserted after completion of the
operation, while in the second group (113 wounds), no drain was inserted.
Statistical analysis was performed using SPSS 15 and independent T-test and chisquare
Results: At the end of the follow up period, 5 patients in the no-drain group
(4.4%) and 2 of the drain group (2%) had deep infection. There was not any
significant difference between both the groups. Severe hematoma formation
(requiring drainage) occurred in only one patient of no-drain group. Again
although the need for analgesics in the first 48 hours of the operation (70 of the
no-drain group (61.9%) and 58 of the drain group (56.9%) and the need for
dressing change due to wetting in the first 24 hours (27 of the no-drain group
(24.5%) and 19 of the drain group (18.6%)] had increased, the difference was not
statistically significant in either the groups.
Conclusion: According to our findings, it seems that hemovacum drain is not
effective in these aspects, however does not increase the risk of complications.
Nevertheles, drain application seems to be a logical approach until larger studies
to be performed.



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