Developing an experimental model for surgical drainage investigations: an initial report

Swartz, Andrew; Azuh, Ogochukwu; Obeid, Leila; Munaco, Anthony J.; Toursavadkohi, Shahab; Adams, James G.; Dulchavsky, Mark; Dobie, Liz; Berardo, Daniel J.; Horst, Mathilda; Patton, Joe H.; Falvo, Anthony; Rubinfeld, Ilan

doi:10.1016/j.amjsurg.2011.09.015

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…Because of the wide variety of surgical drainage systems currently available on the market, there is little consensus among surgeons as to which drains and which techniques for generating negative pressure are most effective (Swartz et al, 2012). However, on the basis of our findings, we concluded that smaller drain reservoirs were able to generate more suction than larger reservoirs and that compressing the sides of the drain bulb was the most effective technique for evacuating the air to generate negative pressure.…”

Section: Discussionmentioning

confidence: 65%

Optimizing the Closed Suction Surgical Drainage System

Carruthers

Eisemann

Lamp

et al. 2013

Plastic Surgical Nursing

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Section: Discussionmentioning

confidence: 65%

Optimizing the Closed Suction Surgical Drainage System

Carruthers

Eisemann

Lamp

et al. 2013

Plastic Surgical Nursing

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“…The drainage effectiveness of JP drains according to the shape of the drainage tips was reported previously. 2 A laboratory model was established to compare JP drains using 3 soups to simulate body fluids containing serous, purulent, and necrotic debris. Each drain was trialed with each of the 3 fluids.…”

Section: Discussionmentioning

confidence: 99%

Application of suction-type cigarette drain in leak-prone hepatopancreatobiliary surgery

Hwang

Jung

2020

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: Penrose drain and Jackson-Pratt (JP) drain have benefits and drawbacks in terms of functional reliability of prolonged duration and easiness of bedside management. We have developed a suction-type cigarette drain (SCD) to compensate for the drawbacks. Methods: We have used SCDs in leak-prone or contaminated hepatopancreatobiliary surgeries since 2020. Herein, we describe key elements of our 20-year experience with the management of SCDs. Results: The SCD is available as two-piece and three-piece types. The two-piece SCD is a cigarette drain consisted of a silastic Penrose drain and Jackson-Pratt (JP) drain bearing multiple side holes. The three-piece SCD is a cigarette drain consisted of a silastic Penrose drain, internally located Nelaton catheter with multiple side-holes, and a connecting JP drain tube and bulb. These SCDs were inserted into the abdominal wall with a hemostat clamps and sealed with airtight ties. Three sets of SCDs were usually inserted in more than 100 cases of patients who underwent pancreatoduodenectomy, and none of them underwent repeat surgery for postoperative pancreatic fistula. In more than 30 patients with extensive abdominal contamination, a single SCD was usually inserted into the high-risk point of fluid collection and none of them underwent repeat surgery to manage collection of abnormal fluid or abscess formation. Conclusions: Our experience suggests that SCD is highly reliable and acceptably convenient for clinical application in abdominal drainage.

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“…Surgical re-exploration for retrieval of a drain or drain fragment is a frustrating complication caused by inadvertent trapping or kinking of the tube during abdominal wall closure. (18,19) Additionally, there are concerns about retrograde infection with drain use. (20) Our raw data analysis shows that intraperitoneal drain use was not associated with an increased rate of puerperal fever.…”

Section: Discussionmentioning

confidence: 99%

To drain or not to drain: intraperitoneal closed-suction drainage placement during cesarean delivery

Drukker

Shen

Rottenstreich

et al. 2019

The Journal of Maternal-Fetal & Neonatal Medicine

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Introduction: Intraperitoneal closed suction drains are occasionally placed during cesarean delivery. However, little is known about the possible risks and benefits. This study aims to ascertain the prevalence, associated factors, outcome, and risks of intraperitoneal closed-suction drain placed during cesarean delivery. Material and Methods: A retrospective cohort study of all women undergoing cesarean delivery in a single center from 2005 to 2015. We excluded cases of cesarean hysterectomy and women who had hollow viscus injury. Cesarean deliveries were categorized into two groups based on intraperitoneal drain use: drain+ and drain-. The study aims were to describe: 1. Drain use prevalence; 2. Factors associated with drain use; 3. Interval to relaparotomy due to intraperitoneal bleeding and outcome of drain use; and 4. Unique drain-related adverse outcome. Statistics: Univariate, multivariable, and inverse probability treatment weighting (IPTW) analysis.Results: After applying the inclusion and exclusion criteria, 16 581 (99.3%) cesareans were included. An intraperitoneal drain was used in 1264 (7.6%) cesareans, ranging from 4.4% to 18.8% in women with no and four or more cesareans, respectively.Comparing the drain+ and drain-groups, multivariable analysis revealed that the factors associated with the use of a drain included (OR, 95%CI) uterine rupture (5.14, 3.15-8.38), intrapartum fever (2.65, 1.87-3.75), previous cesareans (2.29, 2.00-2.68), second-stage cesarean (2.21, 1.64-2.74), preterm delivery (1.89, 1.63-2.19), spontaneous onset of labor (1.42, 1.24-1.63), and maternal age greater than 35 years (1.35, 1.19-1.54); P<0.001 for all. Of the forty-four women (0.27%) who underwent relaparotomy for intraperitoneal bleeding, there were fourteen in the intraperitoneal drain group. Inverse probability treatment weighting analysis demonstrated that median (interquartile range) times (hours) to relaparotomy were significantly shorter in the

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Developing an experimental model for surgical drainage investigations: an initial report

Cited by 9 publications

References 7 publications

Optimizing the Closed Suction Surgical Drainage System

Optimizing the Closed Suction Surgical Drainage System

Application of suction-type cigarette drain in leak-prone hepatopancreatobiliary surgery

To drain or not to drain: intraperitoneal closed-suction drainage placement during cesarean delivery

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