Kobayashi Michiya, Okabayashi Takehiro, Namikawa Tsutomu, Okamoto Ken, Araki Keijiro
Department of Tumor Surgery, Kochi Medical School, Nankoku, Japan.
Surg Technol Int. 2006;15:37-9.
Intra-abdominal abscesses are one of the major complications that occur after Gastrointestinal Surgery. Therapeutic modalities include drainage and irrigation. This study describes the development of a new drainage and continuous irrigation system that results in less skin irritation and reduced dressing changes. This system involved the use of the Surgidrain open top (ALCARE, Tokyo, Japan), which consists of a sealing sheet with a drainage lumen and plastic cap. A double-lumen tube was inserted into the abscess cavity through a slit in the plastic cap. The abscess cavity could, therefore, be irrigated continuously through one lumen of the double-lumen tube, and most of the fluid could be drained through the second lumen of the double-lumen tube. Overflow fluid was drained through the Surgidrain open top drainage lumen. This system enabled better protection against skin complications and the ability to easily flush the abscess intermittently.
腹腔内脓肿是胃肠手术后发生的主要并发症之一。治疗方式包括引流和冲洗。本研究描述了一种新的引流和持续冲洗系统的开发，该系统可减少皮肤刺激并减少换药次数。该系统使用了外科引流开放式顶端装置（日本东京ALCARE公司生产），它由带有引流管腔的密封片和塑料帽组成。通过塑料帽上的狭缝将双腔管插入脓肿腔。因此，可通过双腔管的一个管腔持续冲洗脓肿腔，大部分液体可通过双腔管的第二个管腔引流。溢出的液体通过外科引流开放式顶端的引流管腔排出。该系统能更好地预防皮肤并发症，并能轻松地间歇性冲洗脓肿。
