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Fundamentals of Drain Management

  • Guillaume S. Chevrollier
  • Francis E. Rosato
  • Ernest L. Rosato
Chapter

Abstract

This chapter will review the types of surgical drains and tubes available to the modern general and thoracic surgeon, with a brief mention of those available to the interventional radiologist. Proper drain care and management are also discussed with a focus on individual drain types and indications for use. Negative-pressure wound therapy (NPWT) is also reviewed. These modern drainage tools for managing wounds, fluid collections, abscesses, and enteric fistulae have significantly reduced the need for both initial and re-operative surgeries. This has led to decreased morbidity and mortality in the surgical population and has reduced the need for emergent interventions, thereby reducing the associated debilitating inflammatory response, unanticipated “collateral damage,” and stress to both the patient and operating surgeon.

Keywords

Surgical drain Open drain Closed drain Closed suction drain Sump drain Chest tube Negative-pressure wound therapy Wound VAC 

Suggested Reading

  1. Meyerson JM. A brief history of two common surgical drains. Ann Plast Surg. 2016;77(1):4–5.CrossRefPubMedGoogle Scholar
  2. Urbach DR, Kennedy ED, Cohen MM. Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis. Ann Surg. 1999;229(2):174.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Mowery NT, et al. Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma Acute Care Surg. 2011;70(2):510–8.CrossRefGoogle Scholar
  4. Dumville JC, et al. Negative pressure wound therapy for treating surgical wounds healing by secondary intention. Cochrane Database Syst Rev. 2015;6:CD011278.Google Scholar

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Guillaume S. Chevrollier
    • 1
  • Francis E. Rosato
    • 1
  • Ernest L. Rosato
    • 1
  1. 1.Department of SurgerySidney Kimmel Medical College, Thomas Jefferson UniversityPhiladelphiaUSA

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