Stephanie Sophia Ruers1, Stefan Wagenpfeil2, Gerd Gauglitz3, Moritz Felcht4, Tino Wetzig5, Falk G Bechara6, Wolfgang Koenen7, Christian Kunte8, Guido Bruning9, Cornelia S L Müller10. 1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum des Saarlandes, Campus Homburg, Homburg, Deutschland. 2. Institut für Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Campus Homburg, Universität des Saarlandes, Homburg, Deutschland. 3. Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, München, Deutschland. 4. Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Ruprecht-Karls-Universität Heidelberg, Mannheim, Deutschland. 5. Klinik für Dermatologie, Dermatochirurgie und Allergologie, Asklepios Klinik Weißenfels, Weißenfels, Deutschland. 6. Klinik für Dermatologie, Venerologie und Allergologie, St. Josef Hospital, Ruhr-Universität Bochum, Bochum, Deutschland. 7. Klinik für Dermatologie und Venerologie, Dermatologie im Fronhof, Bad Dürkheim, Deutschland. 8. Abteilung Dermatochirurgie und Dermatologie, Artemed Fachklinik München, München, Deutschland. 9. Tabea GmbH & Co.KG, Kösterbergstr. 32, Hamburg, Deutschland. 10. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum des Saarlandes, Campus Homburg, Homburg, Deutschland. cornelia.mueller@uks.eu.
Abstract
BACKGROUND: The use of drainage systems in dermatosurgery has so far been carried out without evidence-based data. The indications, complications and contraindications are traditionally passed on from surgeon to surgeon but have so far not been defined. METHOD: An Internet-based survey was created and sent out to members of the German Society for Dermatosurgery (DGDC). The questions were on the general treatment approach in German language countries with reference to the use of wound drainage following dermatological operations as well as the utilization habits and experiences with drainage-associated complications. RESULTS: Of the DGDC members contacted 12.73% completed the questionnaire. Drainages were predominantly used in the clinical environment and all drainage systems in question were used. The extent and complexity of the intervention were essential criteria when evaluating the indications. The use of drainages was dependent on the age of the participant and mostly carried out in patients where complications in the postoperative course were to be expected (e.g. obesity, nicotine use, diabetes). CONCLUSION: In summary, the majority of the participants used wound drainages and mostly intuitively. Uniform and fixed evidence-based parameters for the use of wound drainages are lacking. In the assessment of the necessity for a wound drainage, an individually expressed need of safety seems to play a large role for some dermatosurgeons and an eminence-based action for others.
BACKGROUND: The use of drainage systems in dermatosurgery has so far been carried out without evidence-based data. The indications, complications and contraindications are traditionally passed on from surgeon to surgeon but have so far not been defined. METHOD: An Internet-based survey was created and sent out to members of the German Society for Dermatosurgery (DGDC). The questions were on the general treatment approach in German language countries with reference to the use of wound drainage following dermatological operations as well as the utilization habits and experiences with drainage-associated complications. RESULTS: Of the DGDC members contacted 12.73% completed the questionnaire. Drainages were predominantly used in the clinical environment and all drainage systems in question were used. The extent and complexity of the intervention were essential criteria when evaluating the indications. The use of drainages was dependent on the age of the participant and mostly carried out in patients where complications in the postoperative course were to be expected (e.g. obesity, nicotine use, diabetes). CONCLUSION: In summary, the majority of the participants used wound drainages and mostly intuitively. Uniform and fixed evidence-based parameters for the use of wound drainages are lacking. In the assessment of the necessity for a wound drainage, an individually expressed need of safety seems to play a large role for some dermatosurgeons and an eminence-based action for others.
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