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Surgical Drains
• Prophylactic– Remove pus, blood, serous exudates, chyle
or bile.– Form a controlled fistula (e.g. t-tube after bile
duct exploration)
Surgical Drains
• Therapeutic – Drain pus, blood, serous exudates, chyle or
bile.– Drain air from pleural cavity.– Drain Ascitis.
Surgical Drains
• Arguments for their use include: – Drainage of fluid removes potential sources of
infection – Drains guard against further fluid collections – May allow the early detection of anastomotic
leaks or haemorrhage – Leave a tract for potential collections to drain
following removal
Surgical Drains
• Arguments against their use include: – Presence of a drain increases the risk of
infection – Damage may be caused by mechanical
pressure or suction – Drains may induce an anastomotic leak
Classification
• Open System
• Closed System
jackson pratt (JP) drain
Penrose Drain
Pezzer Catheter
Pig-tail catheter
Pig Tail Catheter
T-tube
Chest tube