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Benefits And Drawbacks Of Surgical Drain Management

By Aimee Schwartz


Medical interventions always use equipment and tools for performing procedures and to ensure fast recovery for the patients. These equipment are used to save lives and to make the procedure easy and safe for both the patient and the surgeon. Clinical procedures need to be really done carefully and effectively because lives rely on these.

There are different types of surgeries and all of them use various tools and equipment to ensure efficiency. Surgical drain management is one of the most widely used systems in modern surgery. The main purpose for this is to decompress the air or fluid from the part where the procedure was done.

For the benefits, it helps in the accumulation of anastomotic leakage. This happens when there are too many fluids like blood, drains, and air in the body part of where surgery was performed. Other procedures where the system can be used are orthopedic processes, plastic surgery including breast augmentation, chest drainage, cyst surgeries, neurosurgery, catheter attachments, and a lot more.

The system could be silastic or rubber, closed or open, and active or passive. Silastics are very inert and rubbers contain tracts. Closed systems use bottles while open systems use stoma bags. Finally, active drains have suction pressures controlled at high or low depending on what is required and passive relies on the pressure of the body.

The system is removed only when it reaches around twenty five milliliters per day. Also, it can be totally removed by the time the wound heals. But it is also necessary to take out two centimeters a day of the drain. This gradual removal will be until they are sure that the wound will no longer cause infections. But the postoperative areas take longer which is about a week before removal.

For palliative care, the nurse or any medical practitioner should remove, pull, or shorten a drain as this could cause the patient discomfort. It is important that a pain reliever is in sight before the removal is done so that if the patient experiences pain, he or she will be relieved with the medicine. Then the practitioner will dress the part where the drain was taken out. A dry dressing will do. This is done especially when the wound has healed.

They must also carefully look into the guidelines from time to time in case there are very sensitive processes. Monitoring is an important so that they will know when to remove the tubes. Removing it means that the suction bags or bottles have reached a measurement of twenty five milliliters. They need to observe if the wound has healed yet or not. Otherwise, removing can be the cause of getting infections.

Operations in the gastrointestinal systems do not imply the use of drains because it can pose a threat to the patient. This is a sensitive part and it is much safer without this equipment. If the mechanical pressure is not properly controlled, there could be complications.

As much as possible, there should be no errors in performing operations using the system of drains. These are helpful in some surgical operations but may pose a threat to other types of sensitive procedures. Hence, palliative care must be observed all of the time.




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