Salgado Júnior Wilson, Macedo Neto Marcelo Martins, dos Santos José Sebastião, Sakarankutty Ajith Kumar, Ceneviva Reginaldo, de Castro e Silva Orlando
Department of Surgery and Anatomy, Medical School of Ribeirão Preto, University of São Paulo, Rua Antônio Chiericato 760, Ribeirão Preto-SP, Brazil.
World J Gastroenterol. 2009 May 21;15(19):2340-4. doi: 10.3748/wjg.15.2340.
To compare the performance of different types of abdominal drains used in bariatric surgery.
A vertical banded Roux-en-Y gastric bypass was performed in 33 morbidly obese patients. Drainage of the peritoneal cavity was performed in each case using three different types of drain selected in a randomized manner: a latex tubular drain, a Watterman tubulolaminar drain, and a silicone channeled drain. Drain permeability, contamination of the drained fluid, ease of handling, and patient discomfort were evaluated postoperatively over a period of 7 d.
The patients with the silicone channeled drain had larger volumes of drainage compared to patients with tubular and tubulolaminar drains between the third and seventh postoperative days. In addition, a lower incidence of discomfort and of contamination with bacteria of a more pathogenic profile was observed in the patients with the silicone channeled drain.
The silicone channeled drain was more comfortable and had less chance of occlusion, which is important in the detection of delayed dehiscence.
比较减重手术中使用的不同类型腹腔引流管的性能。
对33例病态肥胖患者实施垂直捆绑式Roux-en-Y胃旁路手术。在每例手术中，以随机方式选择三种不同类型的引流管进行腹腔引流：乳胶管状引流管、沃特曼管层流引流管和硅胶带槽引流管。术后7天内评估引流管的通畅性、引流液污染情况、操作便利性和患者不适感。
与管状和管层流引流管的患者相比，硅胶带槽引流管的患者在术后第3天至第7天的引流量更大。此外，硅胶带槽引流管的患者不适感发生率较低，且感染更具致病性细菌的发生率也较低。
硅胶带槽引流管更舒适，堵塞几率更小，这对于检测延迟切口裂开很重要。
