Draining The Abdominal Gutters Without Surgery

Most intra abdominal abscesses are now managed by image guided percutaneous drainage and antibiotics.

Draining the abdominal gutters without surgery. 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. They may leave the body through the surgical incision or a small incision may be made specifically for the drain itself. Jacques belghiti safi dokmak in blumgart s surgery of the liver pancreas and biliary tract fifth edition 2012. 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. Maithel in blumgart s surgery of the liver biliary tract and pancreas 2 volume set sixth edition 2017. 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. Later in a prospective randomized clinical trial rct fong and associates 1996 similarly concluded that routine.

Broad spectrum antibiotics to cover the gut flora were started in both cohorts at diagnosis and were stopped once septic features resolved. Drainage of abdominal cavity. This case report documents one patient with serious iatrogenic complicationaroused from abdominal drain tube following an open total abdominal hysterectomy procedure. 3 this discharge is normal in the early stages of healing as the blood is present in small amounts.

Drains are designed to be removed without the need for further surgery or additional procedures. Access for open drainage may be obtained transperitoneally or extraperitoneally. Franco and colleagues 1989 suggested early that hepatic resection should be performed without drainage. The drain may have sutures holding it in place to prevent it from being accidentally dislodged.

Journal of surgical sciences. 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. 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.