SU858840A1 - Method of draining organism cavities - Google Patents

Description

(54) METHOD OF DRAINING OF THE ORGANISM CAVITY

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This invention relates to medicine k can be used in surgery to drain cavities of the human body.

There is a known method of drainage of the body cavities by introducing a drainage tube with subsequent active aspiration of the contents of ij.

However, with a known method, suction of the drainage tube, (, to the walls of the drainable cavity, their injury and suppuration of postoperative wounds is possible.

The purpose of the invention is the prevention of suppuration of postoperative wounds and, 5 traumatized by a tube, surrounded by tissue.

The goal is achieved by the fact that the method of drainage of the body cavities is carried out by introducing a 20 drainage tube, followed by active aspiration of the contents, aspiration is carried out continuously for 1.5-2 minutes.

The method is carried out as follows.

Claims (1)

When a patient accumulates fluid after surgical interventions or in other cases when there is a need to evacuate the secretion of wounds or cavities, a drainage tube is inserted into the wound or cavity for drainage of the cavities, which is connected to a sealed vessel to collect the liquid, the vessel, in turn , connected to the compressor, creating a negative pressure. The compressor is connected to the network via a time relay, which creates a negative pressure for 1.5-2 minutes. In the next 3-5 minutes, the compressor does not work, aspiration of the contents during this period is stopped. Then the cycle is repeated. At the specified mode of operation, the most effective drainage occurs. This is due to the fact that during the pause the body does not accumulate the amount of liquid that will replenish the capacity of the cavity to be drained, in the event of suction of the drainage tube (during the pause), the system depressurizes and then switching on the compressor drainage is resumed. Example. Vol. P., 45 years old, was admitted to the hospital with a large psleo-operative ventral hernia. The defect of the anterior abdominal wall along the midline is 20 x 17 cm in size. During the operation, a hernia sac of 25x30 cm in size was found of a fungal shape due to prolonged wear of the bandage. After plasty of the anterior abdominal wall using a conserved dura mater, the presence of skin detachment and subcutaneous tissue was noted on an area of about 400 cm. In order to prevent the accumulation of wound secretions in the postoperative period and the development of suppuration, two silicone tubes with a diameter of 6 mm are connected to the postoperative wound through contraceptives, connected through a tee to an airtight container to collect the contents of the cavity to be drained. In the postoperative period, drainage is performed by intermittent aspiration. On the first day, 430 mm of serous-hemorrhagic fluid was evacuated; during this period, the drainage tube did not stumble to the walls of the drained cavity and the contents were aspirated. On the second day, 130 ml and there was also no drainage disturbance, in the third - 30 ml. Drainage tube removed after three days. The postoperative period is smooth. Primary healing. The constant decrease in the quantity of aspirated fluid from the drainage cavity indicates the effectiveness of drainage. The proposed method allows to increase the efficiency of drainage, eliminates the suction of the drainage tube and injury to the walls of the drainable cavity, increases the quality of the treatment process. DETAILED DESCRIPTION OF THE INVENTION The invention has a method of drainage of the body cavities by introducing a drainage tube followed by active aspiration of the contents, characterized in that, in order to prevent suppuration of postoperative wounds and injury to the surrounding tissue, aspiration is carried out intermittently at intervals of 1.5-2 minutes. Sources of information taken into account during the examination 1. Kanshin N.N. et al. Active aspiration for the prevention of postoperative suppuration of wounds. - Bulletin of surgery. 1974, No. 8, p. 61.