Draining The Abdominal Gutters Without Surgery

Jacques belghiti safi dokmak in blumgart s surgery of the liver pancreas and biliary tract fifth edition 2012.

Draining the abdominal gutters without surgery.

Broad spectrum antibiotics to cover the gut flora were started in both cohorts at diagnosis and were stopped once septic features resolved. Franco and colleagues 1989 suggested early that hepatic resection should be performed without drainage. This thin watery drainage is composed of both blood and serum and may appear slightly pink from the small number of red blood cells that are present. 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.

Maithel in blumgart s surgery of the liver biliary tract and pancreas 2 volume set sixth edition 2017. 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. Excess fluid in the abdomen is called. Drainage of abdominal cavity.

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. Later in a prospective randomized clinical trial rct fong and associates 1996 similarly concluded that routine. Drains are designed to be removed without the need for further surgery or additional procedures. 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.

The drain may have sutures holding it in place to prevent it from being accidentally dislodged. 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. This case report documents one patient with serious iatrogenic complicationaroused from abdominal drain tube following an open total abdominal hysterectomy procedure.

They may leave the body through the surgical incision or a small incision may be made specifically for the drain itself. Journal of surgical sciences. Most intra abdominal abscesses are now managed by image guided percutaneous drainage and antibiotics.