Friday, August 5, 2016

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.

A surgical drain is simply a thin rubber tube inserted in the area of the wound to remove fluids such as blood and pus from the wound. Nevertheless, when inserted they do not cause the wound to heal faster or prevent infections. Instead, they remove the fluid that otherwise promote infections or result in retained blood complications. The doctor gives specific information on when the drain would be removed, but they are generally removed when there is significantly small or no fluid collected.

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.

Drains can present potential problems such as providing a pathway for access to the wound by bacteria hence leading to infections. Generally, there are higher risks of contracting infections from the third to the fourth day. Around this time, there is also a higher risk of mechanical damages to surrounding tissues. Minimizing these risks will require the surgeon to insert drains following the shortest as well as the safest route to the skin. This ensures that there is no great pressure exerted by the drain to the tissues adjacent.

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.

Management of drains is usually governed by the purpose, type and the location of the drain. Generally, the main reason for inserting the surgical drains is to remove fluid or air from surgery area. It is, therefore, important to follow instructions from the surgeon.

To prevent clogs, squeezing the tube may help so that it drains properly. The doctor may give guidelines on when squeezing would be appropriate, for instance, when you notice a clog is preventing fluid drainage. Also, if you notice that there is fluid leakage around the tube going to the skin, squeezing would be a good 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.




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