Wunddrainage in der plastischen Chirurgie

Knobloch, Karsten; Busche, Marc N.; Vogt, Peter M.

doi:10.1007/s12631-009-0036-9

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Redonova drenáž (RD) je systém, který byl do praxe zaveden Redonem v roce 1945. Začátek éry, kdy se používal tento typ drénu, který sváděl sekret do skleněné nádoby, přišel až po společné publikaci francouzských chirurgů Redona, Josta a Torquese v roce 1954 [1,2,3,4]. Tehdejší drenáž nebyla ještě založena na principu vakua, princip se plně rozvinul až v roce 1959, kdy se na trhu objevily první podtlakové láhve, které aktivně odsávaly sekret z operační rány do rezervoáru [5].…”

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Subjective evaluation of Redon's drainage by patients after surgical treatment of head and neck cancer

Sedláčková¹,

Mejzlík²

2013

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zdravotnických studií 2 Oblastní nemocnice Náchod, a. s., oddělení ušní, krční, nosní 3 Pardubická krajská nemocnice, a. s., Klinika otorinolaryngologie a chirurgie hlavy a krku SummaryThe study, Nursing care in patients after the surgical treatment of head and neck cancer, was conducted in the Department of Otolaryngology and Head and Neck Surgery in Pardubice in years 2009-2011. The group of 63 patients, who underwent surgical treatment, was included. Subjective evaluation of Redon's drainage, a number of drains, time of drainage duration and complications of healing in early post operative period were recorded. The mentioned period is crucial for early uncover of postoperative complications and moreover is significantly perceived by the patient. The wound healing is also influenced by administration of antibiotics, aseptic approach, suitable nursing care and the indispensable wound drainage. The Redon's drains meet high medical standards. However, the patients often experience negative emotions, due to uncomfortable conditions. The patients included in the research study were monitored during the whole period of their hospitalization, when both their health and mental condition were checked. There were many factors examined during the research. Since we had the opportunity to try a new method to measure the vacuum using special sensors, we also focused on the evaluation of the vacuum and its part in the possibility of occurrence of complications. That is why the article especially aims at presenting results related to the Redon's drainage. key words: Redon drainage -vacuum -complications drainage -subjective evaluation ošetřovatelství Souhrn V roce 2009 začala výzkumná studie Ošetřovatelská problematika u pacientů po léčbě metastatických nádorů do krčních uzlin v Pardubické krajské nemocnici na Klinice otorinolaryngologie a chirurgie hlavy a krku. Do poloviny roku 2011 bylo do studie zařazeno celkem 63 onkologických pacientů, kteří podstoupili chirurgickou léčbu. Sledovanými faktory byly: subjektivní vnímání Redonovy drenáže pacientem, subjektivní vnímání Redonovy drenáže pacientem v závislosti na počtu zavedených drénů, subjektivní vnímání Redonovy drenáže pacientem v závislosti na délce zavedení drenáže, subjektivní vnímání Redonovy drenáže v závislosti na výskytu komplikací v pooperačním období. Toto období je velice náročné pro pacienty jak po fyzické, tak hlavně po psychické stránce. V pooperačním období je velice důležitá prevence vzniku komplikací při hojení rány. Ta je zajištěna nejen pomocí podávání

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Section: úVodunclassified

Subjective evaluation of Redon's drainage by patients after surgical treatment of head and neck cancer

Sedláčková¹,

Mejzlík²

2013

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“…Using an intraoperative drain during renal transplantation in order to decompress the surgical site, with the goals of (i) achieving more rapid monitoring of any intraabdominal bleeding and urine leaks that may occur, as well as (ii) reducing the incidence and severity of wound complications, has been a matter of debate. Historically, according to Halstead and Howard Kelly, "The more imperfect the technique of the surgeon the greater the necessity for drainage, " and "Drainage is a confession of imperfect surgery, " respectively [12][13][14]. Conversely, the drain may be a conduit for easy access of pathogens and put the immunosuppressed renal transplant recipient at an increased risk for developing wound complications including infection [15][16][17][18][19][20][21].…”

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confidence: 99%

Evidence to support a drain-free strategy in kidney transplantation using a retrospective comparison of 500 consecutively transplanted cases at a single center

et al. 2021

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Introduction Routine placement of surgical drains at the time of kidney transplant has been debated in terms of its prognostic value. Objectives To determine whether the placement of a surgical drain affects the incidence rate of developing wound complications and other clinical outcomes, particularly after controlling for other prognostic factors. Methods Retrospective analysis of 500 consecutive renal transplant cases who did not (Drain-free, DF) vs. did (Drain, D) receive a drain at the time of transplant was performed. The primary outcome was the development of any wound complication (superficial or deep) during the first 12 months post-transplant. Secondary outcomes included the development of superficial wound complications, deep wound complications, DGF, and graft loss during the first 12 months post-transplant. Results 388 and 112 recipients had DF/D, respectively. DF-recipients were significantly more likely to be younger, not have pre-transplant diabetes, receive a living donor kidney, receive a kidney-alone transplant, have a shorter duration of dialysis, shorter mean cold-ischemia-time, and greater pre-transplant use of anticoagulants/antiplatelets. Wound complications were 4.6% (18/388) vs. 5.4% (6/112) in DF vs. D groups, respectively (P = 0.75). Superficial wound complications were observed in 0.8% (3/388) vs. 0.0% (0/112) in DF vs. D groups, respectively (P = 0.35). Deep wound complications were observed in 4.1% (16/388) vs. 5.4% ((6/112) in DF vs. D groups, respectively (P = 0.57). Higher recipient body mass index and ≥ 1 year of pre-transplant dialysis were associated in multivariable analysis with an increased incidence of wound complications. Once the prognostic influence of these 2 factors were controlled, there was still no notable effect of drain use (yes/no). The lack of prognostic effect of drain use was similarly observed for the other clinical outcomes. Conclusions In a relatively large cohort of renal transplant recipients, routine surgical drain use appears to offer no distinct prognostic advantage.

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