Laparoscopic retrieval of retained intraperitoneal drain in the immediate postoperative period: report of two cases

Aim: The purpose of this study is to analyze a "rare" complication on the management of abdominal surgical drains: abdominal drainage’s retention. Starting from our experience we review literature on this topic. Material of study: We report two cases (occurred on 2004 and 2010) of retained intraperitoneal drain occurred in the immediate postoperative period after laparoscopic cholecistectomy. Results: Both patients were successfully treated by early laparoscopic removal. Discussion: We compared our experience with literature. Incidence, ethiology, prevention, diagnosis and treatment of this rare complication are analysed. We also considered the guidelines in the placement of intraperitoneal drains, the different fixation techniques, the causes of fragmentation of the drainage and removal techniques. Conclusions: Retained intraperitoneal drain secondary to fracture and adhesion in the immediate postoperative period is rare but probably underestimated surgical complication. It is impossible to know its real incidence. The role of laparoscopy is emphasized because this approach is cosmetically acceptable, contributes to early recovery and discharge of the patient, and helps to lessen the friction in worsening doctor-patient relationship.