Abdominal sinus drainage is indicated in which pathology?

This is an automatically translated article.

Drainage in surgery is known as a process to help transfer fluid that is pathological in nature, also known as pus or has the ability to affect physiological activities of organs such as causing infection, compression. from the inside of the body to the outside. This is called external drainage, and internal drainage is the process of moving from one cavity or viscera in the body to another. So, drainage of the abdominal cavity is indicated in which pathology?

1. In what pathology is drainage of the abdominal cavity indicated?

The abdominal cavity is divided into several smaller compartments including:
Right subdiaphragmatic space Right subhepatic space (also known as Morison's space) Left subdiaphragmatic-subhepatic space Left omentum omentum Right lower colonic Left lower colon And same Douglas. Thus, fluid in one compartment can easily circulate to another compartment. And the fluid movement between these compartments must obey the laws of physics as well as the anatomical characteristics between the compartments. From this property, we can draw some conclusions as follows:
In case if fluid appears in only one cavity, only direct drainage of this cavity In case if a lot of fluid is detected in the cavity and there is can move easily between compartments and drains will be placed in the lowest compartment which is the same map. In the case if fluid appears in many compartments but cannot move between compartments, placing drains will in those compartments. And the reason why the fluid cannot move easily between the compartments is because the peritoneum is too inflamed, leading to the intestinal loops sticking together and causing edema.

2. Designation

Abdominal sinus drainage is indicated in the following cases:
2.1. Therapeutic drainage of late generalized peritonitis Localized peritonitis: abscesses occurring in the abdominal cavity including subdiaphragmatic abscesses. Necrotizing pancreatitis After traumatic splenectomy After cholecystectomy After suturing the bladder rupture 2.2. Preventive drainage After suturing of perforated peptic ulcer or duodenal apex at risk of fistula After partial pancreatectomy, with or without pancreatico-intestinal junction After partial rectal resection and anastomosis colorectal For small-bowel or colonic anastomosis there is no question of prophylactic drainage. Media: Commonly a drain or a sump-drain system.
2.3 Technique Here are some of the main steps of a sinus drainage :
Carry out locating drainage Incision skin to form a tunnel through the abdominal wall Inserting a drain Fixing the drain For Abscess drainage, Douglas drainage, preventive drainage connect the drain to the closed system Negative pressure 10 cmH2O, for subdiaphragmatic abscess drainage, connect the drain tube to the suction-closed system continuity. Connecting drains with suction-opening system with irrigation for foci of necrotizing pancreatitis

3. Patient Care

In case if the patient is fully awake and has stable vital signs, let the patient lie down with the head elevated, so the patient should be mobilized early. Pay attention to monitor the amount and nature of fluid through the drain. Watch for indirect signs such as: bowel problems, fever, abdominal pain, ... Remove the drain The drain time is as follows:
Within 24-48 hours for splenectomy, cholecystectomy Within 48-72 hours for mild peritonitis Between 3-5 days for full-blown peritonitis, lower abscess diaphragm. For patients with necrotizing pancreatitis, the draining time may be longer. If the discharge is less than 30 mL/24 hours and is pale yellow, this is a good indication that the drain should be removed and an abdominal ultrasound can be checked before withdrawal. For prophylactic drainage: May be withdrawn on the 5th postoperative day if no abnormal discharge is detected Note: Have the patient lie supine in bed for 1-2 hours post-extraction.

4. Complications and sequelae

Intestinal wall damage, intestinal perforation Injury to large blood vessels in the abdominal cavity Hernia of the large intestine or omentum Hernia of the abdominal wall Intestinal obstruction, intestinal adhesions Here are useful information and knowledge to help you know the drainage The abdominal cavity is indicated in the pathologies like. Periodic health check-ups help detect diseases early, thereby planning treatment for optimal results. Currently, Vinmec International General Hospital has general health checkup packages suitable for each age, gender and individual needs of customers with a reasonable price policy, including:
Health checkup package general Standard 2020 General health check-up package VIP 2020 General health check-up package Special 2020 General health check-up package Children 2020 General health examination package Work permit - Issuance of work permits Examination results of people sick will be returned home. After receiving the results of the general health examination, if you detect diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with quality treatment and services. outstanding customer service.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.