Importance Of Surgical Drain Management

By Jason Morgan


Generally, instances of fluid collecting near areas in the body that have undergone surgeries can happen. This leads to higher chances of being infected or development of other problems. Owing to this reason, surgeons use surgical drains to drains away the fluid. Preventing such infections calls for surgical drain management, this is very important.

Surgical drains are simply thin rubber tubes inserted to the location of the wound in order to take away fluids including pus and blood from such a wound. However, such insertions prevent not infections and lead not to faster healing of the wound. Rather, they remove fluids that may otherwise cause infections or even lead to complications from retained blood. The physician gives specific instructions on the duration the drain is to stay, but the removal generally occurs when there is a significantly small amount of fluid collected or none at all.

There are different types of drains that work differently. This includes active or passive surgical drains. Passive drains rely on gravity to take away fluid from wounds, as active drains remain attached to a vacuum device or a wall suction. Surgeons will select the preferred type, which fits the site operated on and the expected drainage.

The downside of drains is that they may provide a pathway for bacteria to reach the wound causing infections. Usually, the risk of an infection is higher in the third and fourth day. At this point, the risk of mechanical damage to the local tissues is also higher. To minimize such risks surgeons inserts the drains to reach the skin in the safest and shortest route. This is to ensure that the drains do not exert so much pressure to the adjacent tissues.

The systematic approach of care and managing of drains significantly reduces cases of complications and the level of drainage. Following the insertion of the drains, thick dark red blood emanating from blood left over from the operation accompanies the drainage. The fluid drops with the healing of the wound as the drainage becomes thinner and changes color to pink because less blood is produced. When blood completely disappears, the drainage transforms to pale yellow and thin and ultimately trickles slowly.

Managing of a drain will depend on the type, purpose as well as the location of the given drains. However, the general reason for having a drain is to take away air or fluid in the area operated on. Hence, it is of essence to adhere to guidelines provided by the surgeon.

In order to avoid clogs, the tubes are squeezed to permit proper drainage. A doctor provides guidelines on the suitable time to squeeze for instance, whenever you observe a clog that prevents draining of the fluid. Additionally, if you observe some fluid leakage next to a tube directed to the skin then squeezing becomes the best care management.

Removal of surgical drains generally is performed when no more fluid flows or when the flow falls below 25 ml/day. Nevertheless, the period may be shortened through gradual withdrawal of the drains at about 2 cm each day so as to give way to the gradual healing of the area.




About the Author: