Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a...
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Transcript of Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a...
![Page 1: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/1.jpg)
Surgical Drains
• Prophylactic– Remove pus, blood, serous exudates, chyle
or bile.– Form a controlled fistula (e.g. t-tube after bile
duct exploration)
![Page 2: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/2.jpg)
Surgical Drains
• Therapeutic – Drain pus, blood, serous exudates, chyle or
bile.– Drain air from pleural cavity.– Drain Ascitis.
![Page 3: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/3.jpg)
Surgical Drains
• Arguments for their use include: – Drainage of fluid removes potential sources of
infection – Drains guard against further fluid collections – May allow the early detection of anastomotic
leaks or haemorrhage – Leave a tract for potential collections to drain
following removal
![Page 4: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/4.jpg)
Surgical Drains
• Arguments against their use include: – Presence of a drain increases the risk of
infection – Damage may be caused by mechanical
pressure or suction – Drains may induce an anastomotic leak
![Page 5: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/5.jpg)
Classification
• Open System
• Closed System
![Page 6: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/6.jpg)
jackson pratt (JP) drain
![Page 7: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/7.jpg)
Penrose Drain
![Page 8: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/8.jpg)
Pezzer Catheter
![Page 9: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/9.jpg)
Pig-tail catheter
![Page 10: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/10.jpg)
Pig Tail Catheter
![Page 11: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/11.jpg)
T-tube
![Page 12: Surgical Drains Prophylactic –Remove pus, blood, serous exudates, chyle or bile. –Form a controlled fistula (e.g. t-tube after bile duct exploration)](https://reader034.fdocuments.in/reader034/viewer/2022051619/56649d755503460f94a55247/html5/thumbnails/12.jpg)
Chest tube