Patient-performed at-home surgical drain removal is safe and feasible following hernia repair and abdominal wall reconstruction

• DOI: 10.1016/j.amjsurg.2022.09.022
• Publication Date: 2022-09-22T03:27:00Z
• Authors: Jordan O. Bray; Stephanie O'Connor; Thomas L. Sutton; Nicole M. Santucci; Mohamed Elsheikh; Alina N. Bazarian; Sean B. Orenstein; Vahagn C. Nikolian
• Keywords: Contraindication; Demographics

Traditionally, surgical drains are considered a relative contraindication to telemedicine-based postoperative care. We sought to assess the safety, feasibility, and outcomes of an at-home patient-performed surgical drain removal pilot program.A prospective cohort study among patients who were discharged with surgical drains was performed. Patients discharged with drains were given the option for in-clinic, provider-performed removal, or at-home, patient-performed drain removal. Patient demographics, health characteristics, perioperative metrics, and operative outcomes were compared and analyzed.A total of 68 encounters with drain removal were included (at-home: 28%, n = 19; in-clinic: 72%, n = 49), with both groups having similar demographics, except for age (median age of telemedicine-based at-home: 50 vs in-clinic: 62 years, p = 0.03). Patients who opted into at-home, patient-performed drain removal were more likely to have drain removal occur earlier (9 vs 13 days for in-clinic, p < 0.001). In-clinic removal resulted in increased encounters with surgical nursing staff and increased travel time, with no significant difference in complication burden.Patient-performed at-home drain removal is safe and allows for more timely drain removal.