Emergency gastrointestinal surgery and drains

Emergency gastrointestinal surgery and drains

While there seems to be some anecdotal evidence advising against drainage following appendicular perforation, duode nal perforation and bowel pathology leading to localised or generalised peritonitis, a less dogmatic approach is more realistic. Patients with four-quadrant peritoneal contamination usually benefit from routine drainage, whereas a more selective appr oach can be tailored in patients with localised peritoneal contamination. The decision to avoid drain placement in emergency surgery needs to be contextualised, taking into account the patient’s clinical state and comorbid illnesses as well as the healthcare and hospital setting, including access to round-the clock interventional radiologists. Emergency gastrointestinal surgery and drains

While there seems to be some anecdotal evidence advising against drainage following appendicular perforation, duode nal perforation and bowel pathology leading to localised or generalised peritonitis, a less dogmatic approach is more realistic. Patients with four-quadrant peritoneal contamination usually benefit from routine drainage, whereas a more selective appr oach can be tailored in patients with localised peritoneal contamination. The decision to avoid drain placement in emergency surgery needs to be contextualised, taking into account the patient’s clinical state and comorbid illnesses as well as the healthcare and hospital setting, including access to round-the clock interventional radiologists. Emergency gastrointestinal surgery and drains

While there seems to be some anecdotal evidence advising against drainage following appendicular perforation, duode nal perforation and bowel pathology leading to localised or generalised peritonitis, a less dogmatic approach is more realistic. Patients with four-quadrant peritoneal contamination usually benefit from routine drainage, whereas a more selective appr oach can be tailored in patients with localised peritoneal contamination. The decision to avoid drain placement in emergency surgery needs to be contextualised, taking into account the patient’s clinical state and comorbid illnesses as well as the healthcare and hospital setting, including access to round-the clock interventional radiologists.