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Pus from drainage after surgery


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Drainage Care

Indications:ensuring the functioning of drains, etc., prevention of complications associated with finding drains in a wound, cavity.

  • Purulent wounds
  • Wounds after opening abscesses, phlegmon
  • Purulent pleurisy, hemothorax and pneumothorax,
  • Peritonitis
  • Abdominal abscesses
  • Purulent Arthritis


  • wound restroom equipment.
  • isotonic sodium chloride solution (0.9%).
  • jars for collecting detachable tubes.
  • skin antiseptics (alcohol, water).

Principles of care:

1. M / s should reassure the patient and explain to him that the drainage was made for normal wound healing.

2. To prevent the bed from getting dirty from the wound, put an oilcloth on the mattress, and litter on the sheet.

3. Do not allow the patient to change position without the permission of the doctor.

4. Observe the position and functioning of the drainage after changing the position of the patient.

5. When the dressing is abundantly wet, when outflow goes to the dressing with short drains and tampons, it must be changed regularly. The old m / s bandage is carefully removed with sterile instruments, drains the wound and the skin around it, treats the skin with an antiseptic and, changing instruments, imposes a dry bandage.

6. A long drainage tube is either connected to a suction system or immersed in a vessel with a solution of furatsilin (150 ml 1: 5000) and fixed to the bed.

7. Timely remove accumulated discharge from the can.

8. To prevent drainage from falling out of the wound, it is fixed to the skin with sutures and strips of sticky patch.

9. The nurse notes in the temperature sheet the amount of discharge that has entered the vessel per day or during the observation time (hours).

10. Change, pulling up, shortening of drains and tampons is carried out by the doctor during the next dressing.

11. In case of inflammation of the skin around the drainage, inform your doctor.

12. Care of the wound around the drainage should be carried out according to the general rules: 1st dressing - on the 1st - 2nd day after the operation, in the subsequent - after 2-3 days or according to indications.

13. The drained drains and tampons should not be tried to be inserted back; the draining drains should be reported to the attending or on-call doctor,

14. When caring for drains with active aspiration, make sure that the system remains airtight (negative pressure 10-40 mmHg)

15. Monitoring the discharge rate, its quantity and quality allows us to judge the course of the postoperative period, to diagnose complications (bleeding, perforation of a hollow organ, etc.).

16. When the drainage is blocked by fibrin, mucus (cork) or when it is bent, under the guidance of a doctor, the blocked drainage is washed with antiseptics, antibiotics, its contents are aspirated and the function is restored.

17. When caring for flow-washing aspiration drainages, carefully monitor the ratio of the amount of injected and aspirated fluid: a decrease in the amount of outflowing fluid compared to the injected requires stopping the administration of antiseptic agents and finding out the reason.

18. After a clean operation, the swabs and drains installed to remove the accumulated blood are removed for 2-3 days in a clean dressing room.

19. Drainages and tampons designed to drain exudate, pus, bile are removed gradually, as the discharge is reduced or stopped (on average for 4-14 days),

20. Drainage should be removed during dressing. M / s treats the skin around the drainage with an antiseptic solution, removes the seam with which the drainage is sewn, after which the attending physician removes it. The hole remaining after drainage, the dressing m / s is drained, treated with iodine and covered with a sterile dressing.

21. Tampons are periodically replaced, removed, tightened and shortened only by a doctor, but not later than 4-6 days after their introduction or previous manipulation.

22. If there are several tampons in the wound, then first one tampon is removed, with subsequent dressings - others. If there is only one swab in the wound, then it is constantly tightened, shortened, and finally removed.

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Working process|Wound dressing with available drainage

Date Added: 2014-01-04, Views: 51823, Copyright Infringement? ,

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What is drainage in medicine

The term "drainage" is translated as "drainage" and is used in a variety of areas, implying approximately the same thing. In medicine, drainage is understood as the action of installing a hollow tube in the postoperative wound, the other end of which is brought out. The purpose of this design is to provide for the evacuation (removal) of pathological contents outward to accelerate the healing of internal wounds and prevent the development of a repeated abscess.

Also, through the tube, you can wash the wound cavity with antiseptics, which is also important after complex operations associated with opening the abscesses. Exudate cannot be completely removed: some of it continues to form within a few hours after surgery. Postoperative drainage allows disinfecting solutions to be introduced into the cavity.

Curious! The first mention of surgical drainage of wounds was found in Hippocratic treatises. And this is the 4th century BC

Doctors calling for refusal of drainage are guided by the fact that an open communication of the postoperative wound with the external environment can easily lead to infection. Also, foreign bodies in the form of tubes that are long in the human body contribute to the formation of fistulas - channels formed by tissues and connecting internal organs with the surface medium. But these two problems can be prevented if the basic requirements are observed:

  • choosing the right type of drainage,
  • compliance with the technique of its installation (surgical drainage should perform its function regardless of the position of the patient's body),
  • meticulous fixation
  • competent care for drainage (maintaining cleanliness, antiseptic treatment),
  • timely drainage removal (immediately after its function is completed).

Types of modern drainage

The surgeon will determine the type of drainage that will be installed for a particular patient. His choice depends on several factors: the surgical field, the nature of the intervention, the amount and intensity of pathological fluids after surgery.

This type of drainage involves laying thin tubes filled with sterile gauze in the wound cavity. Passive drainage is installed so that the outflow of contents goes from inside to outside due to gravity. Antiseptic can no longer be treated with a wound cavity. Passive drainage is used for shallow simple wounds.

Due to the small thickness of the tubes (and in some cases these are just flat corrugated strips), the removal of passive drainage does not create additional scars. The wound from him heals quickly and without a trace.

Suitable for deep and complex wounds. It involves the installation of an entire system of interconnected flexible tubes connected to a vacuum system. It can be a plastic "accordion" or an electric pump. With their help, not only purulent masses are evacuated, but also dead cells and particles of separated flesh.

By the way! Outside, the tube also attaches to a container or bag. This allows you to evaluate the quantity and quality of the emitted pathological contents and determine when it is time to remove drainage (less than 30-40 ml per day).

An active type of wound drainage also includes flushing and running surgical drainage. This is a system of two parallel tubes, one of which displays the contents, and the second serves to introduce antiseptics and saline solutions into the wound cavity for washing.

Indoor and outdoor

This is another classification of postoperative drainage. Closed is a type of drainage in which the outer end of the tube is bandaged or pinched. This is precisely what avoids infection of the wound cavity from the outside. A syringe is used to evacuate contents or administer drug solutions.

Outdoor drainage is not pinched outside. The end of the tube is placed in a sterile vessel to collect pathological contents. If you monitor the air condition in the room (regularly perform quartzing and wet cleaning), as well as change the container in time and monitor its sterility, then there will be no problems with infection.

After what operations drainage

Drainage is necessary on enzyme-forming organs (stomach, pancreas, intestines, etc.), because in the first few hours or days after surgery, in addition to the natural secret, pathological contents will also form in them.

Also, the drainage in surgery must be established at the opening of abscesses on any part of the body, even if it is a surface operation under local anesthesia. In this case, passive drainage under the bandage, which is removed after a day, is suitable.

Sometimes the wounds resulting from plastic surgery are drained. The drainage system in such cases allows you to monitor the lack of development of internal bleeding. Many doctors drain the mammary glands after breast augmentation surgery, because the implants installed faster and better take root in the dry cavity.