This document discusses surgical drains. It describes drains as appliances that drain blood, pus, or air from the body. Drains are either passive or active. Passive drains rely on capillary action or gravity, while active drains use suction. Examples of passive drains include corrugated rubber and Penrose drains. Active drains like Redivac use suction. Drains have therapeutic, diagnostic, prophylactic, monitoring, or palliative indications and are used to continuously drain fluid, make diagnoses, prevent fluid buildup, monitor outputs, or provide palliative care. Complications can include infection, foreign body reaction, or injury to nearby structures.

1. Dr PRASHANT KUMAR M.S

2.  THESE ARE APPLIANCES THAT ACT AS
DELIBERATE CHANNELS WHICH IS USED TO
DRAIN ESTABLISHED OR POTENTIAL
COLLECTION OF BLOOD,PUS OR AIR
Dr PRASHANT KUMAR M.S

3.  A. OPEN OR CLOSED
 B. ACTIVE OR PASSIVE
Dr PRASHANT KUMAR M.S

4. PASSIVE DRAINS
SIMPLY ACT BY MEANS OF
THE CAPILLARY ACTION
OR GRAVITY.
Eg.
 CORRUGATED RUBBER
DRAIN
 PENROSE DRAIN(A VERY
SOFT RUBBER TUBE
WITH GUAZE WICK
INSIDE).
 SUMP DRAIN ( THESE
DRAINS ARE USED WHEN
DRAINAGE FLUID IS TOO
VISCOUS)
ACTIVE DRAINS THESE
ARE TUBE DRAINS THAT
ARE AIDED BY ACTIVE
SUCTION.
EXAMPLES.
 REDIVAC DRAIN
 HAEMOVAC
SURGIVAC
 JACKSON-PRATT
DRAIN
Dr PRASHANT KUMAR M.S

5. Dr PRASHANT KUMAR M.S

6. Dr PRASHANT KUMAR M.S

7. Dr PRASHANT KUMAR M.S

8. Dr PRASHANT KUMAR M.S

9. THERE ARE DIFFERENT INDICATIONS,IT INCLUDE
1. THERAPEUTIC
2. DIAGNOSTIC
3. PROPHYLACTIC
4. MONITORING
5. PALLIATIVE
Dr PRASHANT KUMAR M.S

10. Where drain continuously drains out unwanted
fluid.
 TENSION PNEUMOTHORAX
 PLEURAL FLUID
 ABSCESS CAVITY
 SEROMA
 ACUTE URINARY RETENTION
 ACUTE SUPPORATIVE ARTHRITIS
 INFECTED CYST
Dr PRASHANT KUMAR M.S

11. Dr PRASHANT KUMAR M.S

12. Dr PRASHANT KUMAR M.S

13. Where diagnosis is made with help of drainage
tube.
 T-TUBE CHOLANGIOGRAM FOR RETAINED
GALL STONES IN COMMON BILE DUCT
 BILIARY FISTULA.
Dr PRASHANT KUMAR M.S

14. Where there is possibility of accumulation of
fluid/pus/blood which can result in acute life
threatening condition.
 POST THYROIDECTOMY
 THORACOTOMY
 SPLENECTOMY
 PANCREATECTOMY
 ESOPHAGEAL RESECTION
 CARDIOTHORACIC PROCEDURES
Dr PRASHANT KUMAR M.S

15.  MONITORING IT IS USE FOR.
GASTROINTESTINAL BLEEDING. URETHRAL
CATHERIZATION.
 FOR PALLIATIVE. ADVANCED CA ESOPHAGUS.
HYDROCEPHALUS.
Dr PRASHANT KUMAR M.S

16. Dr PRASHANT KUMAR M.S

17.  Ascending bacterial invasion
 Foreign body reaction
 Bacterial hiding places
 Poor placement – fluid accumulation, drain kinked
 NECROSIS OF BOWL OR VESSEL.
 FISTULA.
 HERNIA.
 INJURY TO ADJACENT STRUCTURES. RETAINED OR
FRAGMENTATION OF TUBE.
Dr PRASHANT KUMAR M.S

18. Dr PRASHANT KUMAR M.S