The effects of vault drainage on postoperative morbidity after vaginal hysterectomy for benign gynaecological disease: a randomised controlled trial
Article first published online: 18 OCT 2011
© 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 119, Issue 3, pages 348–353, February 2012
How to Cite
Dua, A., Galimberti, A., Subramaniam, M., Popli, G. and Radley, S. (2012), The effects of vault drainage on postoperative morbidity after vaginal hysterectomy for benign gynaecological disease: a randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 119: 348–353. doi: 10.1111/j.1471-0528.2011.03170.x
- Issue published online: 12 JAN 2012
- Article first published online: 18 OCT 2011
- Accepted 1 September 2011. Published Online 18 October 2011.
- febrile morbidity;
- vaginal hysterectomy;
- vault haematoma
Please cite this paper as: Dua A, Galimberti A, Subramaniam M, Popli G, Radley S. The effects of vault drainage on postoperative morbidity after vaginal hysterectomy for benign gynaecological disease: a randomised controlled trial. BJOG 2011; DOI: 10.1111/j.1471-0528.2011.03170.x.
Objective To evaluate the efficacy of vault drainage in reducing the immediate postoperative morbidity associated with vaginal hysterectomy carried out for benign gynaecological conditions.
Design Randomised controlled trial.
Setting A tertiary referral gynaecology centre in UK.
Population A total of 272 women who underwent vaginal hysterectomy for benign conditions between March 2005 and June 2010.
Methods The 272 women were randomised to have a drain inserted or not inserted, ‘drain’ or ‘no drain’, respectively, before vault closure during vaginal hysterectomy, using a sealed envelope technique. The surgical procedures were performed using the surgeons’ standard technique and postoperative care was delivered according to the unit’s protocol.
Main outcome measures The primary outcome measure was reduction in postoperative febrile morbidity. Secondary outcome measures were hospital readmission rate, blood transfusion, change in postoperative haemoglobin and length of stay.
Results In all, 135 women were randomised to have a drain and 137 to ‘no drain’. There were no differences in the incidence of febrile morbidity, length of stay, change in haemoglobin or need for postoperative blood transfusion between the two groups.
Conclusions The routine use of vault drain at vaginal hysterectomy for benign disorders has no significant effect on postoperative morbidity. The use of vault drain in this context is not recommended.