Role of Drains in Duodenal Perforation Surgery within 48 Hours: A Comparison Between Drains and No Drain (Code-T0250)

Introduction: Duodenal perforation is a life-threatening condition that requires prompt surgical intervention, usually within 48 hours, to prevent peritonitis and systemic infection. A critical decision during surgery is whether to place a drain to manage fluid accumulation or to leave the site undrained. This study aims to evaluate the effectiveness of drains versus no drain in duodenal perforation surgery and compare their outcomes.

Aims and Objectives: The primary aim of this study is to compare postoperative outcomes between patients undergoing duodenal perforation repair with drains versus those with no drains. The objectives include assessing infection rates, wound healing, length of hospital stay, and complication rates.

Methods: A retrospective analysis of patients undergoing duodenal perforation surgery within 48 hours was performed. Two groups were compared: one receiving drains and the other managed without drains. Postoperative outcomes, including infection rates, healing time, complications, and recovery speed, were recorded and analyzed.

Results: Preliminary results show that the drain group had a lower incidence of fluid accumulation and detected complications earlier, but experienced a higher rate of wound infection and longer hospital stays. The no-drain group had fewer infections and faster recovery but showed a higher incidence of fluid accumulation and delayed complication detection.

Conclusion: Both strategies have distinct advantages and limitations. The use of drains may help prevent complications like abscess formation, but the absence of drains may lead to quicker recovery and fewer infections. Further prospective studies are needed to refine treatment guidelines.

Keywords: Duodenal perforation, drains, surgery, complications, infection rates, recovery.