Whether prophylactic intraoperative chest drain insertion in esophageal atresia-tracheoesophageal fistula is an evidence-based practice or just a prejudice: A systematic review and meta-analysis

This systematic review and meta-analysis of 498 newborns challenges the routine practice of prophylactic intraoperative chest drain insertion during EA-TEF repair, finding no significant benefit in reducing postoperative complications, anastomotic leaks, or mortality. The study reveals higher rates of return to the operating room in patients receiving prophylactic drains, questioning this common surgical practice.