Draining The Abdominal Gutters Without Surgery

Open drainage is used when percutaneous drainage fails or is not available or when abscesses are encountered during open surgery.

Draining the abdominal gutters without surgery.

3 this discharge is normal in the early stages of healing as the blood is present in small amounts. When faced with extensive abdominal inflammatory disease and septic shock the surgeon may be better advised to drain the infection temporarily control the visceral leak quickly eg with oversewing or enteric diversion and defer any definitive repair until after the patient has recovered from the initial insult ie a damage control operation. Journal of surgical sciences. Jacques belghiti safi dokmak in blumgart s surgery of the liver pancreas and biliary tract fifth edition 2012.

The risk of hemorrhage and bile leakage and the high rate of ascites after hepatectomy in the cirrhotic liver leads many surgeons to consider abdominal drainage in a retrospective study that included 1269 consecutive patients who underwent elective. In the abdominal cavity fluid leaches from the colon into either the left or the right lateral gutter and then drains down the gutter into the pelvic area. Abdominal tap or paracentesis is a procedure to remove excess fluid from the abdominal cavity which is the area between the abdominal wall and the spine. They may leave the body through the surgical incision or a small incision may be made specifically for the drain itself.

Abdominal drain was removed once the drainage ceased or decreased 10 20 ml d in closed system of drainage or when once daily dressing was minimally soaked in open system. Drainage in patients lying down can be reversed with infectious material from an infected appendix located near the cecum running up the right paracolic gutter. Drainage of abdominal cavity. Franco and colleagues 1989 suggested early that hepatic resection should be performed without drainage.

Later in a prospective randomized clinical trial rct fong and associates 1996 similarly concluded that routine. The drain may have sutures holding it in place to prevent it from being accidentally dislodged. Maithel in blumgart s surgery of the liver biliary tract and pancreas 2 volume set sixth edition 2017. Drains are designed to be removed without the need for further surgery or additional procedures.

Excess fluid in the abdomen is called. Broad spectrum antibiotics to cover the gut flora were started in both cohorts at diagnosis and were stopped once septic features resolved. Access for open drainage may be obtained transperitoneally or extraperitoneally.