E-Posters-Intraperitoneal Drain Placement at the Time of Mesh Removal is associated with a Lower Risk of Postoperative Fluid Collection: A Quality Improvement Project

Intraperitoneal Drain Placement at the Time of Mesh Removal is associated with a Lower Risk of Postoperative Fluid Collection: A Quality Improvement Project - Emily English, MD

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The study aimed to determine whether the placement of an intraperitoneal drain at the time of mesh removal during sacrocolpopexy is associated with a lower risk of postoperative fluid collection and readmission. The study included a retrospective cohort of 20 women who underwent laparotomy for removal of sacrocolpopexy mesh. All procedures were performed by urogynecologists at the University of Michigan between January 2008 and January 2018.<br /><br />The results showed that the implementation of a policy of universal drain placement in 2016 resulted in an increase in the rate of drain placement from 28.6% to 83.3%. The placement of a drain was associated with a significantly lower rate of postoperative fluid collection (0% with a drain vs. 46% without a drain). However, there was no significant difference in the rate of readmission between the two groups. The most common indications for mesh removal were pain, vaginal mesh exposure, and vaginal discharge or bleeding.<br /><br />The study concluded that the placement of an intraperitoneal drain at the time of mesh removal is associated with a lower risk of postoperative fluid collection. This suggests that the use of a drain may help minimize morbidity associated with surgical removal of sacrocolpopexy mesh. The findings highlight the importance of implementing policies aimed at improving surgical outcomes and patient safety.<br /><br />In summary, this quality improvement project found that the placement of a drain at the time of mesh removal during sacrocolpopexy is associated with a lower risk of postoperative fluid collection. The study provides evidence for the effectiveness of this intervention in reducing complications following surgery.

Keywords

intraperitoneal drain

mesh removal

sacrocolpopexy

postoperative fluid collection

readmission

retrospective cohort

laparotomy

urogynecologists

University of Michigan

policy implementation