Optimal Use of Surgical Drains: Evidence-Based Strategies.

Abstract:

BACKGROUND:Closed-suction drains are widely used to reduce the incidence of seroma whenever potential spaces are surgically created. However, few studies have examined the parameters that affect drain efficacy. METHODS:An in vitro model was created to assess the effects of tubing length, tubing size, tubing type, fluid viscosity, fluid clotting, evacuator type, evacuator squeeze method, evacuator fill, and evacuator pressure on the performance of closed-suction drains. RESULTS:Fluid flow rate through the drain increases with increasing intracavitary tubing length, decreasing extracavitary tubing length, increasing tubing diameter, increasing negative pressure, decreasing fluid viscosity, and the use of perforated rather than fluted drains. Bulbs generate more effective suction when squeezed "side-to-side" than when squeezed "bottom-up," and evacuators were only able to generate half the maximal negative pressure when 25 percent full or greater. Stripping the drain tubing helped relieve obstruction caused by clotting. CONCLUSIONS:The authors' findings have practical clinical implications for surgeons hoping to maximize the efficacy of closed-suction drains. Through this comprehensive review of the literature and in vitro analysis of relevant variables that affect drain function, the performance of closed-suction drains can be optimized by increasing intracavitary tubing length, decreasing extracavitary tubing length, increasing tubing diameter, increasing the pressure differential, using perforated drains, squeezing bulbs side-to-side, stripping drain tubing frequently, and evacuating containers whenever they are 25 percent full. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V.

journal_name

Plast Reconstr Surg

authors

Khansa I,Khansa L,Meyerson J,Janis JE

doi

10.1097/PRS.0000000000004413

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1542-1549

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-201806000-00041

journal_volume

141

pub_type

杂志文章
  • Clinical facial composite tissue allotransplantation: a review of the first four global experiences and future implications.

    abstract:BACKGROUND:Since 2005, seven facial composite tissue allotransplantations have been performed in five different centers in three countries. Four teams have reported their outcomes in separate publications. The authors sought to review the first four global experiences and compare several factors. This review facilitate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181c722a8

    authors: Hui-Chou HG,Nam AJ,Rodriguez ED

    更新日期:2010-02-01 00:00:00

  • Nonbiological Microsurgery Simulators in Plastic Surgery Training: A Systematic Review.

    abstract:BACKGROUND:Simulation has gained notable recognition for its role as an effective training and assessment modality in the present era of competency-based medical education. Despite the well-documented efficacy of both live and cadaveric animal models, several ethical, financial, and accessibility issues persist with th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005990

    authors: Abi-Rafeh J,Zammit D,Mojtahed Jaberi M,Al-Halabi B,Thibaudeau S

    更新日期:2019-09-01 00:00:00

  • Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes.

    abstract:BACKGROUND:The supraclavicular island flap has been used successfully for difficult facial reconstruction cases, providing acceptable results without using microsurgical techniques. The authors use this regional flap in reconstructing various head and neck oncologic defects that normally require traditional regional or...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181aa0e5d

    authors: Chiu ES,Liu PH,Friedlander PL

    更新日期:2009-07-01 00:00:00

  • Shaped versus Round Implants in Breast Reconstruction: A Multi-Institutional Comparison of Surgical and Patient-Reported Outcomes.

    abstract:BACKGROUND:Since the 2012 approval of shaped implants, their use in breast reconstruction has increased in the United States. However, large-scale comparisons of complications and patient-reported outcomes are lacking. The authors endeavored to compare surgical and patient-reported outcomes across implant types. METHO...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000003238

    authors: Khavanin N,Clemens MW,Pusic AL,Fine NA,Hamill JB,Kim HM,Qi J,Wilkins EG,Kim JYS

    更新日期:2017-05-01 00:00:00

  • Surgical treatment of migraine headaches by corrugator muscle resection.

    abstract::The authors, a plastic surgeon (Dirnberger) and a neurologist (Becker), conducted this study after reading the article by of Bahman Guyuron et al. in the August 2000 issue of Plastic and Reconstructive Surgery (106: 429, 2000). Sixty patients were operated on between June of 2001 and June of 2002; postoperative follow...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000131906.27281.17

    authors: Dirnberger F,Becker K

    更新日期:2004-09-01 00:00:00

  • Reconstruction of Large Abdominal Wall Defects Using Neurotized Vascular Composite Allografts.

    abstract:BACKGROUND:Abdominal wall vascularized composite allotransplantation is the second most common form of vascularized composite allotransplantation. Sensory and functional recovery are expected in other forms but have never been demonstrated in abdominal wall vascularized composite allotransplantation. The authors hypoth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001584

    authors: Broyles JM,Sarhane KA,Tuffaha SH,Cooney DS,Lee WPA,Brandacher G,Sacks JM

    更新日期:2015-10-01 00:00:00

  • Textured surface, nonsilicone gel breast implants: four years' clinical outcome.

    abstract::Since the development of smooth silicone breast implants in 1962, more than 1 million women throughout the world have opted for breast augmentation surgery. Although initially successful, smooth implants are prone to develop surrounding scar capsules that may harden and contract, resulting in discomfort, weakening of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199712000-00014

    authors: Ersek RA,Salisbury AV

    更新日期:1997-12-01 00:00:00

  • Pilomatrixoma presenting as a parotid mass.

    abstract::A rare case of calcifying epithelioma of Malherbe presenting as a large parotid mass is reported in this paper. Preoperative evaluation and considerations are discussed. An exact diagnosis and definitive treatment in this patient consisted of superficial parotidectomy and histologic study. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198610000-00016

    authors: Brandner MD,Bunkis J

    更新日期:1986-10-01 00:00:00

  • Operating room fires: optimizing safety.

    abstract:BACKGROUND:This prospective study was undertaken to determine the safest means of supplemental oxygen delivery for patients undergoing facial cosmetic surgery under conscious sedation. Two common methods of oxygen delivery were used in 20 patients: (1) a nasal cannula and (2) a red rubber nasopharyngeal tube through wh...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000282729.23202.da

    authors: Meneghetti SC,Morgan MM,Fritz J,Borkowski RG,Djohan R,Zins JE

    更新日期:2007-11-01 00:00:00

  • Proof of plasmatic imbibition in rat musculocutaneous grafts: enzymatic proof using peroxidase.

    abstract::At present, the concept of plasmatic imbibition is generally accepted. That is, observation of weight change or pigmentation methods of the grafts were established to support it. In the present study, we investigated plasmatic imbibition in rat musculocutaneous grafts histologically using peroxidase, which is one of t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199203000-00022

    authors: Fukui A,Maeda M,Tamai S,Inada Y

    更新日期:1992-03-01 00:00:00

  • Shoulder function following primary axillary nerve reconstruction in obstetrical brachial plexus patients.

    abstract:BACKGROUND:In obstetrical brachial plexus palsy, suprascapular nerve reinnervation is a priority. For the most favorable outcomes in shoulder function, it is the authors' policy to also reconstruct the axillary nerve with intraplexus donors to the posterior cord (early cases) or directly with intraplexus or extraplexus...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181881f70

    authors: Terzis JK,Kokkalis ZT

    更新日期:2008-11-01 00:00:00

  • Blood flow in mobilized nerves: results in a rabbit sciatic nerve model.

    abstract::The purpose of this study was to evaluate the immediate effect on capillary blood flow of surgical mobilization of 15 cm of the rabbit sciatic and tibial nerve. Capillary nerve blood flow was determined with 16-micron radioactive microspheres. Thirty-seven rabbits were divided into six groups. In the control group A (...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199709000-00013

    authors: Maki Y,Firrell JC,Breidenbach WC

    更新日期:1997-09-01 00:00:00

  • Simultaneous Scalp, Skull, Kidney, and Pancreas Transplant from a Single Donor.

    abstract:BACKGROUND:Vascularized composite allotransplantation is an emerging field, but the complications of lifelong immunosuppression limit indications. Vascularized composite allotransplantation in solid organ recipients represents a unique opportunity because immunosuppression has already been accepted. This report of a si...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002153

    authors: Selber JC,Chang EI,Clemens MW,Gaber L,Hanasono MM,Klebuc M,Skoracki RJ,Trask T,Yu P,Gaber AO

    更新日期:2016-06-01 00:00:00

  • Evidence for Extending the Duration of Chemoprophylaxis following Free Flap Harvest from the Lower Extremity: Prospective Screening for Deep Venous Thrombosis.

    abstract:BACKGROUND:The purpose of this study was to investigate the incidence of symptomatic and asymptomatic deep venous thrombosis in patients undergoing harvest of a free flap from the lower extremity who were receiving standard chemoprophylaxis while hospitalized. METHODS:A retrospective review of 65 consecutive patients ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002399

    authors: Rau AS,Harry BL,Leem TH,Song JI,Deleyiannis FW

    更新日期:2016-08-01 00:00:00

  • Venous thromboembolism risk in mastectomy and immediate breast reconstruction: analysis of the 2005 to 2011 American College of Surgeons National Surgical Quality Improvement Program data sets.

    abstract:BACKGROUND:Venous thromboembolism, including deep venous thrombosis and pulmonary embolism, is a morbid and costly complication following surgical procedures. The authors aim to assess the added risk of venous thromboembolism in patients undergoing immediate breast reconstruction. METHODS:The 2005 to 2011 American Col...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000438062.53914.22

    authors: Fischer JP,Wes AM,Tuggle CT,Wu LC

    更新日期:2014-03-01 00:00:00

  • A Review of 30 Years of Alveolar Bone Grafting in the Mixed Dentition Using a Standardized Protocol in Western Australia.

    abstract:BACKGROUND:Outcomes for a continuously applied alveolar bone grafting protocol, established in 1982, are reported and compared to previously published outcomes from the authors' unit and elsewhere. METHODS:A descriptive, retrospective cohort study of alveolar bone grafting outcomes at a tertiary referral cleft center ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006494

    authors: Keribin P,Nicholls W,Walters M,Tan A,McAlpine M,Gillett D

    更新日期:2020-02-01 00:00:00

  • Prospective Randomized Trial Comparing Opioids versus Nonsteroidal Antiinflammatory Drugs for Postoperative Analgesia in Outpatient Rhinoplasty.

    abstract:BACKGROUND:The misuse and abuse of opioids, including overprescription, has led to the current opioid epidemic and national crisis. There is a national effort to eliminate the unnecessary prescription of opioids for analgesia. METHODS:Seventy patients were randomized to receive postoperative analgesia with either 5 mg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007427

    authors: Frants A,Garber D,Lafer MP,Gordon SA,Markey JD,Zhang Y,Wang B,Lee JW

    更新日期:2021-01-01 00:00:00

  • Superior results using the islandized hemipalatal flap in palatoplasty: experience with 500 cases.

    abstract:BACKGROUND:The double-opposing Z-plasty palatal repair, as reported by Dr. Furlow, is one of the most popular methods of primary cleft palate repair. However, the repair as originally described is difficult to perform on wide palatal clefts. The authors have modified the original repair by altering the hard palatal fla...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817741e8

    authors: Bindingnavele VK,Bresnick SD,Urata MM,Huang G,Leland HA,Wong D,Hammoudeh J,Reinisch J

    更新日期:2008-07-01 00:00:00

  • An examination of the phenol-croton oil peel: part IV. Face peel results with different concentrations of phenol and croton oil.

    abstract::In Part IV of this examination of the phenol-croton oil peel, the author presents peeling solutions using phenol in concentrations between 16% and 50% as the carrier for croton oil. Previously, in Part I, the author showed that phenol alone in concentrations of less than 50% has no significant peeling effect on the sk...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200003000-00035

    authors: Hetter GP

    更新日期:2000-03-01 00:00:00

  • Should We Stick with Surgical Glues? The Incidence of Dermatitis after 2-Octyl Cyanoacrylate Exposure in 102 Consecutive Breast Cases.

    abstract::Skin adhesives have become standard in wound closure as alternatives to traditional sutures or as sterile occlusive dressings after surgery of all types. The literature is replete with case reports of contact dermatitis following exposure to cyanoacrylate-based adhesives, such as 2-octyl cyanoacrylate. Nonetheless, it...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006321

    authors: Nigro LC,Parkerson J,Nunley J,Blanchet N

    更新日期:2020-01-01 00:00:00

  • Correction of asymmetries of the breasts.

    abstract::The problem of asymmetries of the breasts is discussed. The technical details of one operation for unilateral reduction are described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197606000-00003

    authors: Elsahy NI

    更新日期:1976-06-01 00:00:00

  • The pedicled descending branch muscle-sparing latissimus dorsi flap for breast reconstruction.

    abstract:BACKGROUND:The pedicled descending branch muscle-sparing latissimus dorsi flap with a transversely oriented skin paddle presents distinct advantages in breast reconstruction, including reduced donor-site morbidity and greater freedom of orientation of the skin paddle. This study reports the anatomical basis, surgical t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181934838

    authors: Saint-Cyr M,Nagarkar P,Schaverien M,Dauwe P,Wong C,Rohrich RJ

    更新日期:2009-01-01 00:00:00

  • Ring avulsion injury.

    abstract::Dependent upon the age, the occupation, and the requisites of an individual patient, the less important ulnar fingers may be of great value; in these the philosophy of discriminate preservation should be given considerable weight in the choice of treatment. Revascularization of fingers injured by a ring avulsion, and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Flagg SV,Finseth FJ,Krizek TJ

    更新日期:1977-02-01 00:00:00

  • Abdominal Wall Reconstruction Risk Stratification Tools: A Systematic Review of the Literature.

    abstract:BACKGROUND:Ventral hernias are a common pathology encountered by surgeons. Multiple risk stratification tools have been developed in attempts to predict a patient's postoperative risk for complication. The aim of this systematic review was to identify published stratification tools, to assess their generalizability, an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004833

    authors: Bernardi K,Adrales GL,Hope WW,Keith J,Kuhlens H,Martindale RG,Melin AA,Orenstein SB,Roth JS,Shah SK,Tsuda S,Liang MK,Ventral Hernia Outcomes Collaborative Writing Group.

    更新日期:2018-09-01 00:00:00

  • Facial Reanimation: Basic Surgical Tools and Creation of an Effective Toolbox for Treating Patients with Facial Paralysis. Part A: Functional Muscle Transfers in the Long-Term Facial Palsy Patient.

    abstract::The literature on facial paralysis is vast; however, detailed videos of the basic tools of dynamic reanimation within the context of patient scenarios accompanied by detailed narrative emphasizing both technique and thought processes are not common. Although not all scenarios of facial paralysis can be discussed in on...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003025

    authors: Rozen SM

    更新日期:2017-02-01 00:00:00

  • Primary closure of trochanteric decubitus ulcers: the bipedicle tensor fascia lata musculocutaneous flap.

    abstract::A surgical procedure is described for the definitive treatment of trochanteric decubitus ulcers. It combines the advantages of the bipedicle skin flap and the musculocutaneous flap; that is, a large area of skin is provided with a thick protective padding consisting of fat, fascia, and muscle richly vascularized by th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198011000-00011

    authors: Schulman NH

    更新日期:1980-11-01 00:00:00

  • Utility of screening for obstructive sleep apnea syndrome in children with craniofacial disorders.

    abstract:BACKGROUND:Children with craniofacial disorders are at increased risk for obstructive sleep apnea syndrome. Methods for diagnosing obstructive sleep apnea syndrome in this population remain controversial. Sleep studies are the criterion standard but are impractical for all patients. The utility of obstructive sleep apn...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000484

    authors: Cielo CM,Silvestre J,Paliga JT,Maguire M,Gallagher PR,Marcus CL,Taylor JA

    更新日期:2014-09-01 00:00:00

  • Determining the Safety and Efficacy of Gluteal Augmentation: A Systematic Review of Outcomes and Complications.

    abstract:BACKGROUND:Augmentation gluteoplasty has been performed more frequently in the past decade, with over 21,000 procedures performed in the past year alone. The most popular methods for buttock augmentation involve silicone prostheses and autologous fat grafting. A comparison of complications of these two techniques does ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002005

    authors: Sinno S,Chang JB,Brownstone ND,Saadeh PB,Wall S Jr

    更新日期:2016-04-01 00:00:00

  • Storage of a free forearm flap for 55 hours.

    abstract::A case is presented in which a filleted flap from the unreplantable forearm was used successfully to cover the upper arm amputation stump after 55 hours of cold ischemia. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198607000-00014

    authors: Thoma A

    更新日期:1986-07-01 00:00:00

  • Airway and Feeding Outcomes of Mandibular Distraction, Tongue-Lip Adhesion, and Conservative Management in Pierre Robin Sequence: A Prospective Study.

    abstract:BACKGROUND:Pierre Robin sequence is characterized by mandibular retrognathia and glossoptosis resulting in airway obstruction and feeding difficulties. When conservative management fails, mandibular distraction osteogenesis or tongue-lip adhesion may be required to avoid tracheostomy. The authors' goal was to prospecti...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003167

    authors: Khansa I,Hall C,Madhoun LL,Splaingard M,Baylis A,Kirschner RE,Pearson GD

    更新日期:2017-04-01 00:00:00