Usefulness of High Pressure Aspiration with Overcoated Double Luminal Draining Tube to Prevent of Abdominal Sepsis (Abscess and Anastomotic Leakage)

義弘, 森脇; 謙一, 吉田; 悟郎, 松田; 聡, 長谷川; 俊郎, 山本; 貢, 杉山

doi:10.5833/jjgs.35.473

Cited by 3 publications

(1 citation statement)

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“…In cases with severe infection in the tracheostomy wound filled with purulent discharge and sputa, we managed the wound using continuous high-pressure aspiration with a double luminal drain technique. 18,19 This drain is made from an outer tube drain having multiple small pores and an inner tube connecting to central vacuum systems and aspirated with maximum high pressure, like a sucker used in surgery. This drain can effectively aspirate mucous pus and viscous material without aspirating the surrounding tissues.…”

Section: Discussionmentioning

confidence: 99%

Usefulness and Safety of Open Tracheostomy by a Paramedian Approach for Cervical Infection: Esophageal and Tracheal Injury and Necrotizing Fascitis

Moriwaki

Sugiyama

Iwashita

et al. 2010

The American Surgeon

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Tracheostomy is hardly performed in patients with cervical infection close to the site of the tracheostomy. This study aimed to present and clarify the usefulness and safety of open tracheostomy performed by the paramedian approach technique. The procedure is as follows. A 2.5-cm paramedian incision is made for the tracheostomy on the opposite side of infectious focus; the anterior neck muscles are dissected and split; the trachea is fenestrated by a reverse U-shaped incision; and the fenestral flap of the trachea is fixed to the skin. We used this technique in five patients. There were no complications such as bleeding, desaturation, and displacement of the tube; and there were no postoperative complications such as severe contamination or infection of the tracheostomy site from the nearby cervical wound, difficulty in securing the tracheostomy tube and connecting device to the ventilator, difficulties in daily management and care, or dislocation of the tracheostomy tube. All wounds resulting from the tracheostomy were kept separate from and not contaminated by the nearby dirty wounds. Open tracheostomy by the paramedian approach technique is useful and safe for patients with severe cervical infection requiring open drainage and long ventilatory management.

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Section: Discussionmentioning

confidence: 99%