Draining The Abdominal Gutters Without Surgery

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.

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. 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. Jacques belghiti safi dokmak in blumgart s surgery of the liver pancreas and biliary tract fifth edition 2012. Access for open drainage may be obtained transperitoneally or extraperitoneally.

Drains are designed to be removed without the need for further surgery or additional procedures. Journal of surgical sciences. Most intra abdominal abscesses are now managed by image guided percutaneous drainage and antibiotics. They may leave the body through the surgical incision or a small incision may be made specifically for the drain itself.

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. Later in a prospective randomized clinical trial rct fong and associates 1996 similarly concluded that routine. Maithel in blumgart s surgery of the liver biliary tract and pancreas 2 volume set sixth edition 2017.

Franco and colleagues 1989 suggested early that hepatic resection should be performed without drainage. This case report documents one patient with serious iatrogenic complicationaroused from abdominal drain tube following an open total abdominal hysterectomy procedure. Open drainage is used when percutaneous drainage fails or is not available or when abscesses are encountered during open surgery. 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.

Broad spectrum antibiotics to cover the gut flora were started in both cohorts at diagnosis and were stopped once septic features resolved. The drain may have sutures holding it in place to prevent it from being accidentally dislodged. Drainage of abdominal cavity.