A retained surgical drain in the abdomen for five years

Irpatgire, Ravindra; Chakrod, Sharda Vithalreddy

doi:10.18203/2349-2902.isj20161177

Cited by 2 publications

(2 citation statements)

References 6 publications

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“… [12] 2010 67 M Penrose Gastrectomy Carcinoma stomach Oesophago-jejunostomy withdrawal, NG drainage, NPO 7 Irpatgire et al. [13] 2016 40 F Corrugated drain Laparotomy Appendicular perforation Intraperitoneal Laparotomy 8 Carlomagno et al. [14] 2012 79 F Penrose Laparotomy Obstructed incisional hernia Intraluminal small bowel Laparotomy …”

Section: Discussionmentioning

confidence: 99%

Lesson learnt from a migrated drain: A case report

Radhakrishna

Tanga²

2017

Annals of Medicine &Amp; Surgery

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IntroductionThough surgical drainage is used as a safety measure, it's not without complications. Migration of various drains has been described, but very little literature refers to the migration of peritoneal drain.Presentation of caseA 55-year male underwent anterior Gastro-Jejunostomy for inoperable metastatic carcinoma of the Gastric Pylorus. We found the peritoneal drain missing on the third post-operative day. On further evaluation, we found it to have migrated into the peritoneal cavity. We opened the operative wound for a partial length and retrieved the drain.DiscussionWe did research to find why drain migrates and searched literature on migration of peritoneal drains. The possible etiologies for drain migration are (1) Drain hasn't been fixed properly (2) Cutting through of suture material (3) Relatively low abdominal pressure (4) Pressure over the drain by patient's body weight when he lies on the same side as drain.ConclusionEvery use of drain should be weighed for its needs and risks. Proper precautions during drain placement avoid unnecessary complications, morbidity and prolonged hospital stay.

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Section: Discussionmentioning

confidence: 99%

Lesson learnt from a migrated drain: A case report

Radhakrishna

Tanga²

2017

Annals of Medicine &Amp; Surgery

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“…Traditionally, surgical re-exploration through open surgery has been the mainstay technique for retrieval of the severed retained drains from the abdominal and pelvic cavities. 4 The complications can range from patients remaining completely asymptomatic 5 to severe morbidity 6 and mortality. 7 We present a case report of a fractured pelvic drain retrieved through a percutaneous approach under fluoroscopic guidance.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Fluoroscopy Guided Retrieval of a Fractured Pelvic Drain Post Caesarean Section: A Case Report

Subba,

Gupta,

Woodman

et al. 2023

J Nepal Med Assoc

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Iatrogenic retention of surgical drains following drain entrapment and breakage is a never event and preventable complication. The traditional approach for removing a fractured drain from the intra-peritoneal cavity involves exploratory laparotomy or laparoscopic surgery. However, minimal access surgery has been more popular retrieval method for retained surgical items from peritoneal and extraperitoneal cavities over the last few decades. We report a case of 32-year-old woman with fractured pelvic drain post-caesarean section. The patient developed abdominal distension, generalised tenderness, absent bowel sounds, bilious vomiting, and high-grade pyrexia. The mechanical obstruction was ruled out by computed tomography scan and the drain was tried to remove but the tube snapped, leaving about a quarter of its length. The drain remnant was retrieved using a non-invasive, inexpensive interventional radiology technique. We could not find any report in the literature describing this innovative approach for retrieving a fractured pelvic drain.

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A retained surgical drain in the abdomen for five years

Cited by 2 publications

References 6 publications

Lesson learnt from a migrated drain: A case report

Lesson learnt from a migrated drain: A case report

Percutaneous Fluoroscopy Guided Retrieval of a Fractured Pelvic Drain Post Caesarean Section: A Case Report

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