A surgical drain is a tube used to remove pus Pus is a whitish-yellow, yellow or yellow-brown exudate produced by vertebrates during inflammatory pyogenic bacterial infections. An accumulation of pus in an enclosed tissue space is known as an abscess, while a visible collection of pus within or beneath the epidermis is known as a pustule or pimple. Pus is produced from the dead and living, blood Blood is a specialized bodily fluid that delivers necessary substances to the body's cells – such as nutrients and oxygen – and transports waste products away from those same cells or other fluids from a wound In medicine, a wound is a type of injury in which skin is torn, cut or punctured , or where blunt force trauma causes a contusion (a closed wound). In pathology, it specifically refers to a sharp injury which damages the dermis of the skin. Drains inserted after surgery do not result in faster wound healing or prevent infection but are sometimes necessary to drain body fluid which may accumulate and in itself become a focus of infection. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity. It is felt now that drains may hinder recovery by acting as an 'anchor' limiting mobility post surgery and the drain itself may allow infection into the wound. In certain situations their use is unavoidable. Drains have a tendency to become occluded or clogged, resulting in retained fluid that can contribute to infection or other complications. Thus efforts must be made to maintain and assess potency when they are in use. Once a drain becomes clogged or occluded, it is usually removed as it is no longer providing any benefit.
Drains may be hooked to wall suction, a portable suction device, or they may be left to drain naturally. Accurate recording of the volume of drainage as well as the contents is vital to ensure proper healing and monitor for excessive bleeding. Depending on the amount of drainage, a patient may have the drain in place one day to weeks. Signs of new infection or copious amounts of drainage should be reported to the health care provider immediately. Drains will have protective dressings that will need to be changed daily/as needed.
Types of drains
Surgical drains can be broadly classified into:
- Tube drains
- Corrugated drains
Some types of surgical drains are:
- Jackson-Pratt drain A Jackson-Pratt drain, JP drain, or Bulb drain, is a drainage device used to pull excess fluid from the body by constant suction. The device consists of a flexible plastic bulb -- shaped something like a hand grenade -- that connects to an internal plastic drainage tube. Removing the plug and squeezing the bulb removes air, which reduces air - consists of a tube connected to a see-through collection bulb. The bulb has a drainage port which can be opened to remove fluid or air so that the bulb can be squeezed to create suction. The drain is placed below the area of the wound.
- Penrose drain A Penrose drain is a surgical device placed in a wound to drain fluid. It consists of a soft rubber tube placed in a wound area, to prevent the build up of fluid
- Negative pressure wound therapy - Involves the use of enclosed foam and a suction device attached; this is one of the newer types of wound healing/drain devices which promotes faster tissue granulation Granulation tissue is the perfused, fibrous connective tissue that replaces a fibrin clot in healing wounds. Granulation tissue typically grows from the base of a wound and is able to fill wounds of almost any size it heals, often used for large surgical/trauma/non-healing wounds.
- Redivac drain
- Pigtail drain - has an exterior screw to release the internal "pigtail" before it can be removed
- Davol
- Chest tube A chest tube is a flexible plastic tube that is inserted through the side of the chest into the pleural space. It is used to remove air (pneumothorax) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space. It is also known as a Bülau drain or an intercostal catheter
- Wound manager
See also
- Wound healing Wound healing, or wound repair, is an intricate process in which the skin repairs itself after injury. In normal skin, the epidermis (outermost layer) and dermis (inner or deeper layer) exists in a steady-state equilibrium, forming a protective barrier against the external environment. Once the protective barrier is broken, the normal (physiologic)
- Incision and drainage
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First day home from hospital still bandaged but JP drain is collecting fluids well
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Sun, 18 Oct 2009 07:16:19 GM
Drain. -Tube-Attachment-Device-DTAD-Sterile-p hol978 0.htm. Feno-micro-200 Micronized Capsules 200 mg. Doppler 358350 devices 358424 flowmetry 358586 Vasamedics 358604 Inc 358622 USA 500750 Terrill 500784 . Surgery. -1 Unit 500810 Frankston ...

