Hess Shane R, Satpathy Jibanananda, Waligora Andrew C, Ugwu-Oju Obinna
Department of Orthopaedic Surgery, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Indian J Orthop. 2017 Mar-Apr;51(2):213-216. doi: 10.4103/0019-5413.201708.
A feared complication of temporary surgical drain placement is from the technical error of accidentally suturing the surgical drain into the wound. Postoperative discovery of a tethered drain can frequently necessitate return to the operating room if it cannot be successfully removed with nonoperative techniques. Formal wound exploration increases anesthesia and infection risk as well as cost and is best avoided if possible. We present a minimally invasive surgical technique that can avoid the morbidity associated with a full surgical wound exploration to remove a tethered drain when other nonoperative techniques fail.
临时放置手术引流管令人担忧的一种并发症是因技术失误意外将手术引流管缝入伤口。如果无法通过非手术技术成功取出，术后发现引流管被束缚通常需要返回手术室。进行正式的伤口探查会增加麻醉和感染风险以及成本，若有可能应尽量避免。我们介绍一种微创外科技术，当其他非手术技术失败时，该技术可避免因全面手术伤口探查来取出被束缚的引流管而带来的并发症。
