Unusual complication of postoperative abdominal drainage

A 77-year-old male patient was treated surgically because of mesenterial ischemia. Gangrenous sigmoid and left colon were resected and unipolar colostomy was created at the level of the middle transverse colon. Standard abdominal drain (size 18) was placed in the left paracolic gutter. At second sur...

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Main Authors: Mislav Tomic, Ivan Romic, Goran Pavlek, Iva Martina Strajher, Juraj Kolak, Josip Mavrek, Vanja Silic, Hrvoje Silovski
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-01-01
Series:Gastroenterology & Endoscopy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2949752323000638
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author Mislav Tomic
Ivan Romic
Goran Pavlek
Iva Martina Strajher
Juraj Kolak
Josip Mavrek
Vanja Silic
Hrvoje Silovski
author_facet Mislav Tomic
Ivan Romic
Goran Pavlek
Iva Martina Strajher
Juraj Kolak
Josip Mavrek
Vanja Silic
Hrvoje Silovski
author_sort Mislav Tomic
collection DOAJ
description A 77-year-old male patient was treated surgically because of mesenterial ischemia. Gangrenous sigmoid and left colon were resected and unipolar colostomy was created at the level of the middle transverse colon. Standard abdominal drain (size 18) was placed in the left paracolic gutter. At second surgery a loop of small bowel was adjacent to distal part of the drain and there were two ischemic patches caused by vacuum effect of the drain holes. This report highlights the possible dangers of abdominal drain placement and discuss ways to prevent it.
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spelling doaj.art-a1ee254a37734e399ed859893e84a82e2024-03-29T05:52:00ZengKeAi Communications Co., Ltd.Gastroenterology & Endoscopy2949-75232024-01-01216061Unusual complication of postoperative abdominal drainageMislav Tomic0Ivan Romic1Goran Pavlek2Iva Martina Strajher3Juraj Kolak4Josip Mavrek5Vanja Silic6Hrvoje Silovski7Department of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaDepartment of Anesthesiology, University Hospital Centre Zagreb, CroatiaDepartment of Surgery, University Hospital Centre Zagreb, CroatiaA 77-year-old male patient was treated surgically because of mesenterial ischemia. Gangrenous sigmoid and left colon were resected and unipolar colostomy was created at the level of the middle transverse colon. Standard abdominal drain (size 18) was placed in the left paracolic gutter. At second surgery a loop of small bowel was adjacent to distal part of the drain and there were two ischemic patches caused by vacuum effect of the drain holes. This report highlights the possible dangers of abdominal drain placement and discuss ways to prevent it.http://www.sciencedirect.com/science/article/pii/S2949752323000638DrainNecrosisSurgeryIschemia
spellingShingle Mislav Tomic
Ivan Romic
Goran Pavlek
Iva Martina Strajher
Juraj Kolak
Josip Mavrek
Vanja Silic
Hrvoje Silovski
Unusual complication of postoperative abdominal drainage
Gastroenterology & Endoscopy
Drain
Necrosis
Surgery
Ischemia
title Unusual complication of postoperative abdominal drainage
title_full Unusual complication of postoperative abdominal drainage
title_fullStr Unusual complication of postoperative abdominal drainage
title_full_unstemmed Unusual complication of postoperative abdominal drainage
title_short Unusual complication of postoperative abdominal drainage
title_sort unusual complication of postoperative abdominal drainage
topic Drain
Necrosis
Surgery
Ischemia
url http://www.sciencedirect.com/science/article/pii/S2949752323000638
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AT jurajkolak unusualcomplicationofpostoperativeabdominaldrainage
AT josipmavrek unusualcomplicationofpostoperativeabdominaldrainage
AT vanjasilic unusualcomplicationofpostoperativeabdominaldrainage
AT hrvojesilovski unusualcomplicationofpostoperativeabdominaldrainage