Microporous polysaccharide hemospheres significantly reduce complications in rectal cancer surgery without drains.

• Surgical complications were 12.2% in the mph group compared to 26.2% with prophylactic drains.
• The odds of complications in the mph group were nearly half that of the no-drain group (odds ratio: 0.54).

Consider adopting mph to enhance recovery protocols and minimize postoperative risks.

• Fewer cases of anastomotic leaks, hemorrhages, and surgical site infections were reported with mph.