Is suction drainage necessary in elective total hip arthroplasty?

T. Major, A. Bikov, G. Holnapy, Z. Bejek, B. Bakos, M. Szendroi, G. Skaliczki

Research output: Contribution to journalArticlepeer-review


Introduction: Several studies have been published which questioned the use of suction drain during elective hip arthroplasty. Aim: In this prospective study the authors examined how the use of suction drainage affected complications related to perioperative blood loss and hemorrhage in patients undergoing elective hip arthroplasty. Method: Eightysix patients undergoing elective hip arthroplasty were divided into two groups. In 54 patients ("drain" group) suction drains were used during operation, whereas in 32 patients no suction drain was applied. Perioperative blood loss, use of tranexamic acid, method of thrombosis prophylaxis, transfusion requirement, incidental postoperative hemorrhage, septic complications, and all other postoperative complications were recorded. Results: Perioperative blood loss was affected with the use of tranexamic acid but not with the use of drainage (p = 0.94). Patients without the use of drain showed a tendency of lower transfusion requirement (p = 0.08). There was no correlation between any complications and the use of drainage. Conclusion: In accordance with published results the authors conclude that the routine use of suction drainage during elective hip arthroplasty is not definitely necessary.
Original languageHungarian
Pages (from-to)1171-1176
Number of pages6
JournalOrvosi hetilap
Issue number29
Early online date17 Jul 2016
Publication statusPublished - 2016


  • Red blood cell transfusion
  • Suction drainage
  • Total hip arthroplasty
  • Tranexamic acid
  • tranexamic acid
  • Article
  • blood transfusion
  • controlled clinical trial
  • controlled study
  • elective surgery
  • hip arthroplasty
  • human
  • major clinical study
  • perioperative blood loss
  • peroperative complication
  • prospective study
  • suction drain
  • suction drainage
  • aged
  • female
  • hip replacement
  • male
  • middle aged
  • operation duration
  • operative blood loss
  • procedures
  • standards
  • statistics and numerical data
  • suction
  • trends
  • very elderly
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip
  • Blood Loss, Surgical
  • Blood Transfusion
  • Elective Surgical Procedures
  • Female
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Prospective Studies
  • Suction

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