A surgical drain is a tube used to remove pus, blood or other fluids from a wound.
A drainage tube is usually only used in extreme medical situations when the patient is at greater risk of having complications from a collection of fluid around an organ, over the risk of inserting a drainage tube.
T he closed drainage system is a system of tubing or other apparatus that is attached to the body to remove fluids in an airtight circuit that prevents any type of environmental contaminants from entering the wound or area being drained.
The open drainage system is a tube or apparatus that is inserted into the body and drains out onto a dressing.
Lastly the suction drainage system uses a pump or mechanical device to help pull the excessive fluid from the body.
Jackson-Pratt drain- closed drainage system / uses suction
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.
T-Tube drain is used for mostly for patients who have undergone gallbladder surgery or surgery of the surrounding tubes draining the gallbladder. This type of drainage most resembles a T and drains into a collection bag.
Paré was an astute observer and brought many innovations to surgery and wound care. One of the most important concepts he introduced was that wounds should be treated gently to reduce inflammation and promote healing. For a significant part of his career Ambroise Paré was a barber surgeon in the army of the king of France. He abandoned the traditional treatment of cauterizing wound after his experience in the battle of Turin in 1536, when the French fought the Italians.
Absorbable suture materials are those that are broken down. The original absorbable suture materials were plain and chromic “cat gut,” which actually consisted of processed collagen derived from the submucosa of animal intestines. Plain gut is broken down enzymatically after about 7 days. Chromic gut is collagen treated with chromium salts to delay break down. Chromic gut typically loses its strength after 2-3 weeks is completely digested after about 3 months.
Now there are many synthetic absorbable materials made from polymers (e.g., Vicryl and Monocryl). These materials are broken down non-enzymatically by hydrolysis; water penetrates the suture filaments and causes breakdown of the polymer chain. As a result, synthetic absorbables tend to evoke less tissue reaction than plain or chromic gut.
Non-absorbable sutures are made of materials that are not readily broken down by the body’s enzymes or by hydrolysis. There are naturally occurring non-absorbable materials e.g., silk, cotton, and steel)
synthetic non-absorbable materials (e.g., nylon and Prolene, Mersilene). In some cases they are left in place indefinitely (e.g., when used to close the abdominal fascia), and in other cases they are removed after adequate healing has occurred (e.g., nylon sutures to close a superficial laceration).
Face: 3-4 days Scalp: 5 days Trunk: 7 days Arm or leg: 7-10 days Foot 10-14 days
How? Many patients are very apprehensive about suture removal, so the first step is to reassure the patient that the procedure is not painful. The skin should be cleansed. Hydrogen peroxide is a good choice for gently removing dried blood and exudates.