Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Data for: The effects of anthropogenic disturbances on soil Collembola communities along a river in an urbanized area

Data concerning with communities of soil ecology used in the paper 'The effects of anthropogenic disturbances and hydrological activity of a river on soil Collembola communities in an urbanized zone

Data for: The effects of anthropogenic disturbances on soil Collembola communities along a river in an urbanized area

Data concerning with communities of soil ecology used in the paper 'The effects of anthropogenic disturbances and hydrological activity of a river on soil Collembola communities in an urbanized zone

Modification of the finishing technology of selected grades of killed steels in both the melting furnace and the ladle of the Bobrek Steelworks

Translated from Polish (Wiad. Hutn. 1987 v. 43(7-8) p. 167-170)Available from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--27343)T / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Technical and technological concept of deoxidising selected kinds of steel with aluminium rod in the ladle

26.00; Translated from Polish (Hutnik (Katowice) 1987 v. 54(4) p. 93-97)Available from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--26542)T / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

The possibility of reducing the consumption of loose refractory materials in an open-hearth steelmaking plant

26.00; Translated from Polish (Wiad. Hutn. 1987 v. 43(10) p. 250-253)Available from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--26851)T / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

The possibility of reducing the consumption of loose refractory materials in an open-hearth steelmaking plant

26.00; Translated from Polish (Wiad. Hutn. 1987 v. 43(10) p. 250-253)Available from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--26851)T / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Improvement of melting and finishing technology of semi-killed steels

22.00; Translated from Polish (Wiad. Hutn. 1987 v. 43(9) p. 223-225)Available from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--26758)T / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo

Improvement of open hearth furnace technology in the manufacture of carbon and low alloy steel

26.00; Translated from Polish (Hutnik (Katowice) 1986 v. 43(3) p. 82-88)SIGLEAvailable from British Library Document Supply Centre- DSC:9022.06(BISI-Trans--26496)T / BLDSC - British Library Document Supply CentreGBUnited Kingdo