Tag: Surgery

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In this article, we will discuss the Penrose and T-tube Drain. So, let’s get started.

Penrose Drain

It consists of a soft rubber tube placed in a wound area to prevent the build-up of fluid. It is named after the American gynecologist Charles Bingham Penrose. A Penrose drain removes fluid from a wound area. It can also be used to drain cerebrospinal fluid to treat hydrocephalus patients. The Penrose drain is a common passive drain.

  • Material: Latex rubber, silicone
  • Sizes: 1/4×6, 1/2×6, 3/4×6, 1×6 inches

T-tube Drain

It is used mostly for patients who have undergone gallbladder surgery or surgery of the surrounding tubes draining the gall bladder. It is placed in the common bile duct post common bile duct exploration (CBD exploration) with supraduodenal choledochotomy. It provides external drainage of bile in a controlled route while the healing process of choledochotomy is maturing and the original pathology is resolving. This type of drainage resembles T shape hence the name T-tube drain. The collection finally drains into a collection bag.

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In this article, we will discuss the Barton’s Fracture. So, let’s get started.

Barton’s Fracture

It is an intra-articular fracture of the distal radius. Here, the fracture extends from the articular surface of the radius to either its anterior or posterior cortices. The small distal fragment gets displaced and carries with it, the carpals. Depending upon the displacement, there is volar Barton’s Fracture (anterior type) and a dorsal Barton’s Fracture (posterior type). Treatment is closed reduction and a plaster cast. Open reduction and internal fixation with plate is required in those cases where closed reduction fails. It may be considered as a primary choice of treatment in young adults with significantly displaced fractures.

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In this article, we will discuss the Redivac Drain or Hemovac Drain. So, let’s gets started.

Redivac Drain or Hemovac Drain

It is a closed drainage system. The drainage works by creating suction pressure that pulls the drainage from the body into a collection tank.

  • Material: Silicone (flat drains), Silicone/PVC (round drains)
  • Size: Drain dimension: Round drain- 10 Fr (=3.2 mm= 1/8″), 15 Fr, 19 Fr (=6.4 mm, 1/4″). Flat drain- 7mm x 20cm, 10mm x 20cm, 7mmx 30cm, 10mm x 30cm
  • Reservoir: 100 mL bulb type, 400 mL spring-loaded cylinder type
  • Collection bag: 150 mL & 450 mL.

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In this article, we will discuss Pig-tail Catheters. So, let’s get started.

Pig-tail Catheters

  • Material: Latex with hydrogel coating
  • Size: 8, 10, 12, 14 French

The catheter has a spiralized tip, which is straightened during insertion by means of a guided wire. Once correctly placed, the tip can be “locked” in the curled position by means of a string in the lumen, which is placed under tension by turning a lock at the external end of the drain. This curled tip helps to prevent any accidental dislodging of the drain. The drain has about 5 side-holes for drainage spaced 1 cm apart from the catheter tip. It can be used for drainage of collections in most locations including the renal pelvis.

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In this article, we will discuss the Jackson-Pratt Drain or Bulb Drain. So, let’s get started.

Jackson-Pratt drain

It is a surgical drainage device used to pull excess fluid from the body by constant suction. The device consists of a flexible rubber bulb-shaped something like a hand grenade that connects to an internal drainage tube. It is commonly used in mastectomy.

  • Material: Silicone (flat drains), Silicone/PVC (round drains)
  • Size and drain dimension: Flat drain- 4mm x 7mm x 20 cm, 4mm x 10 mm x 20 cm. Round drain- 7, 10, 15, 19 Fr diameter (unit- French).
  • Reservoir size- Bulb comes in 100 and 400 mL capacities. Spring-loaded reservoirs are 400 mL.
  • Collection Bag- 800 mL