• Mohammed Elshwadfy Nageeb, Wael Tobar, Ahmed Saqr, Amr Aly Ragab, and Ahmed Mohammed Salah Eldeen Othman Elansary.
• Cairo University, Cairo, Egypt. mohammedelshwadfy@kasralainy.edu.eg.
• Eur J Trauma Emerg Surg. 2024 Jun 15.

PurposeThe study aimed to evaluate safety of omitting the intraabdominal drains after perforated peptic ulcer repairs.Materials And MethodsWe conducted a prospective, randomized, controlled trial from January 2022 to January 2024 at the Emergency surgery department. Patients with perforated peptic ulcers were evaluated for eligibility. They were randomly assigned into two groups. In group A: two intraabdominal drains (pelvic and hepatorenal). in group B: no intraabdominal drains. The primary outcome was hospital length of stay (LOS), and the secondary outcomes included parameters of recovery and 30-day morbidities. The data were analyzed using SPSS 16 ®.ResultsThirty five patients were in the no drain group, while 36 patients were in the drain group. Patients in the no drains group had significantly earlier bowel motion (21.6 vs 28.69 hours; p = 0.004), fluid diet (73.54 vs 86.78 hours; p 0.001), and solid intake (84.4 vs. 98 hours; p 0.001), less pain severity (p = 0.0001) and shorter hospital stay (4.74 vs 5.75 days; p 0.001). A significant less morbidity, including surgical site infection (p = 0.01), and respiratory complications (p 0.0001), were in the no drain group. There was no difference of fever duration nor wound dehiscence.ConclusionsOmitting the intraabdominal drains is safe after peptic ulcer perforation repair. It can improve outcomes. The study was registered at ClinicalTrials.gov Identifier: NCT06084741.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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