Surgical drains refer to a tube that is positioned close to an incision subsequent to surgical operations. The reason for having the drains is to get rid of blood and pus as well as other fluids to prevent their accumulation. The type of drainage systems inserted is based on the needs by a patient, surgery type, the kind of wound, the amount of drainage expected and surgeon preferences. Nonetheless, surgical drain management is important for infection control.
For a number of years, drains have become useful in various operations with good intentions. The general intention is decompressing or draining either air or the fluid away from the surgical spot. Therefore, these drains aid in preventing the accumulation of air, fluids or dead space and too, in characterizing the fluid, for example in early anastomotic leak detection.
There are different kinds of surgical drains. The first is either open drains or closed drains. Open drains are made up of corrugated rubber or plastic sheets and drains into a gauze pad or a stoma bag. These open drains add to the likelihood contracting an infection. Conversely, closed drains consist of tubes that empty to a bag or a bottle. Examples of such drains include chest, abdominal and orthopedic drains. Closed drains cut down the likelihood of contracting infections.
The other category of surgical drains is passive and active drains. Active drains are kept with the aid of suctions that may be low or high in pressure. A passive drain needs no suction, and will work in relation to the variance in pressure between the internal cavities and the exterior.
The drains may as well be rubber or Silastic drains. Silastic drains normally induce negligible tissue reactions, as they are moderately inert. Rubber drains on the other hand, may stimulate severe reaction in the tissues and may permit the formation of tracts.
Management of drains is usually governed by the purpose as well as the location of the drain. Therefore, preferences and instructions of the surgeon should be followed. The drain must remain secured since dislodgment can occur when transferring the patient. Such dislodgement may increase irritation and risk of infection. At the same time, changes in volume and the character of the fluid should be monitored. This is in order to identify arising complications that can result in leaking blood or fluid, especially pancreatic or bile secretions. Also, fluid loss should be measured to help in the intravenous replacement of lost fluids.
The drains are taken off when drainage moves below 25 ml in a day or has completely stopped. The drains could be shortened as well by gradually removing them and giving room for a slow healing of the area. Discomforts can be felt when pulling out the drains hence pain relievers are needed prior to removal of the drains.
When the drains are finally taken out a dry dressing needs to be put on the healing wound. A bit of drainage may still occur at the site until the wound is completely healed. Drains that are left for extended periods could be tough when removing, as early removal will lessen possible difficulties particularly infections.
For a number of years, drains have become useful in various operations with good intentions. The general intention is decompressing or draining either air or the fluid away from the surgical spot. Therefore, these drains aid in preventing the accumulation of air, fluids or dead space and too, in characterizing the fluid, for example in early anastomotic leak detection.
There are different kinds of surgical drains. The first is either open drains or closed drains. Open drains are made up of corrugated rubber or plastic sheets and drains into a gauze pad or a stoma bag. These open drains add to the likelihood contracting an infection. Conversely, closed drains consist of tubes that empty to a bag or a bottle. Examples of such drains include chest, abdominal and orthopedic drains. Closed drains cut down the likelihood of contracting infections.
The other category of surgical drains is passive and active drains. Active drains are kept with the aid of suctions that may be low or high in pressure. A passive drain needs no suction, and will work in relation to the variance in pressure between the internal cavities and the exterior.
The drains may as well be rubber or Silastic drains. Silastic drains normally induce negligible tissue reactions, as they are moderately inert. Rubber drains on the other hand, may stimulate severe reaction in the tissues and may permit the formation of tracts.
Management of drains is usually governed by the purpose as well as the location of the drain. Therefore, preferences and instructions of the surgeon should be followed. The drain must remain secured since dislodgment can occur when transferring the patient. Such dislodgement may increase irritation and risk of infection. At the same time, changes in volume and the character of the fluid should be monitored. This is in order to identify arising complications that can result in leaking blood or fluid, especially pancreatic or bile secretions. Also, fluid loss should be measured to help in the intravenous replacement of lost fluids.
The drains are taken off when drainage moves below 25 ml in a day or has completely stopped. The drains could be shortened as well by gradually removing them and giving room for a slow healing of the area. Discomforts can be felt when pulling out the drains hence pain relievers are needed prior to removal of the drains.
When the drains are finally taken out a dry dressing needs to be put on the healing wound. A bit of drainage may still occur at the site until the wound is completely healed. Drains that are left for extended periods could be tough when removing, as early removal will lessen possible difficulties particularly infections.
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