Drain Placement for Tummy Tuck

OS
Cs
Overseen ByCaleb suggs
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Wake Forest University Health Sciences
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine the optimal placement for surgical drains in individuals undergoing tummy tuck surgery. It will compare two locations for the drains to assess which is more effective and comfortable. Participants will have two drains, each placed differently on either side. After surgery, they will complete surveys about their experience with the drains. This trial suits those undergoing a tummy tuck or skin removal surgery who can complete consent forms in English. As an unphased trial, it allows participants to contribute to enhancing surgical outcomes and comfort for future patients.

Do I need to stop my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that this drain placement technique is safe for abdominoplasty patients?

Research has shown that using drains during tummy tuck surgeries, such as abdominoplasty, is generally safe. In past studies, most complications were minor, with about 37.5% of patients experiencing minor issues and only 2.6% facing major problems. The risk of death remains very low, with reports ranging from 1 in 2,415 to 1 in 13,000 cases.

However, prolonged use of drains can cause discomfort and hinder mobility, potentially slowing recovery. Some studies suggest that alternative methods, like progressive tension sutures (a technique to prevent fluid build-up), might reduce the need for drains without increasing risks such as fluid accumulation or additional surgery.

Overall, drains are considered well-tolerated but can become uncomfortable if left in place for too long.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores different methods of drain placement during a tummy tuck, which is a key part of post-surgical care. Traditionally, drain placement has followed a more standardized approach, but this trial investigates whether specific placement techniques—right side lateral with left side medial, and left side lateral with right side medial—might optimize recovery. This exploration could lead to enhanced patient outcomes by potentially reducing complications or improving healing times, making it a promising area of study for advancements in cosmetic surgery procedures.

What evidence suggests that this drain placement method is effective for abdominoplasty?

Studies have shown that surgical drains in tummy tuck procedures help manage fluid buildup, improving recovery. Drains remove extra fluid and lower the risk of seroma, or fluid collection. Some research suggests that certain techniques, like using special stitches, might reduce the need for drains altogether. However, patients often prefer methods without drains, finding them more comfortable and less inconvenient. This trial will compare two drain placement techniques: one group will have drains placed on the right side lateral with left side medial, and the other group will have drains on the left side lateral and right side medial. The study aims to determine the best drain placement for comfort and effectiveness, though specific patient feedback on optimal placement is still under investigation.678910

Who Is on the Research Team?

AK

Adam Katz, MD

Principal Investigator

Wake Forest University Health Sciences

Are You a Good Fit for This Trial?

This trial is for adults aged 18 or older who are having a tummy tuck or panniculectomy at the Department of Plastic and Reconstructive Surgery. Participants must be able to sign an English language consent form.

Inclusion Criteria

I am a patient of the Plastic and Reconstructive Surgery department.
I am having surgery to remove excess belly skin or fat.
You are capable of signing a consent form in English.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Patients undergo abdominoplasty and/or panniculectomy with randomized drain placement

1 day
Surgery day

Post-operative Evaluation

Participants complete surveys to evaluate their experience with the drains

1 week
Planned post-operative visits

Follow-up

Participants are monitored for safety and effectiveness after treatment

10 days

What Are the Treatments Tested in This Trial?

Interventions

  • Drain Placement
Trial Overview The study is testing two different drain placements in patients after abdominoplasty or panniculectomy surgery. Each participant will have one drain placed medially and another laterally, with their experiences compared through surveys during post-op visits.
How Is the Trial Designed?
2Treatment groups
Active Control
Group I: right side lateral with left side medialActive Control1 Intervention
Group II: left side lateral and right side medialActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Wake Forest University Health Sciences

Lead Sponsor

Trials
1,432
Recruited
2,506,000+

Citations

A Systematic Review and Meta-Analysis Evaluating the ...This robust meta-analysis showed that PTS was more effective than drains in reducing seroma and reoperation rates, with no difference for hematomas or ...
Can drains be avoided in lipo-abdominoplasty? - PMCBeer and Wallner [2] reported reduction of seroma by immobilising the patient for 48 h in a retrospective study of 60 patients. All these patients had drains, ...
Drain Placement for Tummy Tuck · Info for ParticipantsThere are currently no patient reported outcome measurements on ideal drain placement and this study aims to collect objective and patient reported measures to ...
The use of Fibrin Sealants in Reducing Drain Output ...The average surgical drain output in patients receiving fibrin sealants was 620.0 ± 375.0 mL following abdominoplasty. Patients who did not receive fibrin ...
Evaluation of Drain-Free Abdominoplasty After Application ...The overall patient satisfaction of 91.7% shows that there is a high acceptance of the drain-free techniques. Conclusion: Progressive tension sutures or ...
A Primer on Abdominoplasty Safety - PMC - PubMed CentralMortality rates have been reported to be 1:2415, 5 1:3281, 6 and most recently, 1:13 000.
Systematic Review and Meta-Analysis Evaluating the Surgical ...This robust meta-analysis showed that PTS was more effective than drains in reducing seroma and reoperation rates, with no difference for hematomas or ...
Major and minor risk factors for postoperative ...Fifty-seven patients (37.5%) had minor complications and four (2.6%) had major complications. Four patients with minor complications developed major ...
Long Drainers After Abdominoplasty: A Risk AnalysisLong periods with drains have been reported after a full abdominoplasty and are associated with patient discomfort, limited mobility, and slower recovery.
10.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/37265022/
Safety and Efficacy of Outpatient Drainless AbdominoplastyConclusions: PTS are highly effective in preventing seroma and can be safely employed as an alternative to drains in abdominoplasty. PEMF may ...
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