- 作者：Andrew L. Swartz ; B.Sc. ; Ogochukwu Azuh ; M.D. ; Leila V. Obeid ; B.Sc. ; Anthony J. Munaco ; M.D. ; Shahab Toursavadkohi ; M.D. ; James Adams ; B.Ed. ; Mark Dulchavsky ; Liz Dobie ; M.P.H. ; Daniel J. Berardo ; Matilda Horst ; M.D. ; J.H. Patton ; M.D. ; Anthony J. Falvo ; D.O. ; Ilan Rubinfeld ; M.D. ; irubinf1@hfhs.org
- 关键词：Jackson-Pratt drains ; Closed suction drains ; Surgical drains ; Abdominal drainage
- 刊名：The American Journal of Surgery
- 出版年：2012
- 出版时间：March, 2012
- 年：2012
- 卷：203
- 期：3
- 页码：388-391
- 全文大小：141 K
Background
We sought to pilot and initiate validation of a surgical drainage model.Methods
We designed a laboratory model to compare Jackson-Pratt surgical drains using 3 soups to emulate body fluids of serous, purulent, and necrotic debris. Each drain was trialed with each of the 3 fluids. Time and completeness of drainage were recorded. A survey of surgical residents and faculty was performed for convenience sampling.
Results
Under serous conditions, the round Jackson-Pratt drained the cavity quicker, but left a larger residual volume of fluid. Under purulent conditions, the round Jackson-Pratt was slower and drained less fluid. With debris fluid, the round Jackson-Pratt was quicker with less residual fluid whereas the flat type clogged each time. Survey results showed adequate concordance with surgeons in agreement on soup choice.
Conclusions
The Jackson-Pratt drains perform differently depending on the drainage situation. The surgical community requires improved drain data to drive practice patterns.