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Fundamentals of Drain Management

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

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Suggested Reading

  • Meyerson JM. A brief history of two common surgical drains. Ann Plast Surg. 2016;77(1):4–5.

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    CrossRef  CAS  PubMed  PubMed Central  Google Scholar 

  • Mowery NT, et al. Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma Acute Care Surg. 2011;70(2):510–8.

    CrossRef  Google Scholar 

  • 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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Correspondence to Ernest L. Rosato .

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Chevrollier, G.S., Rosato, F.E., Rosato, E.L. (2018). Fundamentals of Drain Management. In: Palazzo, F. (eds) Fundamentals of General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-75656-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-75656-1_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75655-4

  • Online ISBN: 978-3-319-75656-1

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