ISSN 2398-2942      

Peritoneal drainage technique

icanis

Introduction

  • Removal of exudate from peritoneal cavity Septic peritonitis abdominal tap.
  • Intermittent warmed saline lavage.

Uses

Open peritoneal drainage

  • Treatment of diffuse peritonitis (in combination with laparotomy and peritoneal lavage) due to:
    • Septic peritonitis Peritonitis.
    • Intestinal perforation.
    • Ruptured pyometra Pyometra.
    • Post-surgery.
    • Incarcerated bowel in umbilical hernia Septic peritonitis incarcerated bowel in umbilical hernia 01 Septic peritonitis incarcerated bowel in umbilical hernia 02.
  • Chemical peritonitis:
    • Bile/urine leakage.
    • Gastric/pancreatic secretions.
  • Mechanical peritonitis Mechanical peritonitis sponge left in abdomen:
    • Surgical swab.
    • Surgical glove powder.

Advantages

  • Open peritoneal drainage (OPD) has greater efficiency than passive or active drains.

Disadvantages

  • Regular dressing changes required (twice daily).
  • Surgery to close linea alba required on completion of drainage.

Technical problems

  • Intensive nursing/observation required.
  • Loss of fluid, electrolytes and protein.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Guarded, however to some extent depends on underlying cause.
  • Reported mortality rates vary from 33-48% when generalized peritonitis treated with open abdominal drainage.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Hosgood G (1993) Drainage of the peritoneal cavity. Comp Cont Ed Pract Vet 15 (12), 1605-1616 VetMedResource.
  • Hosgood G, Salisbury S K & DeNicola D B (1991) Open peritoneal drainage versus sump-Penrose drainage - clinico-pathological effects in normal dogs. JAVMA 27 (1), 115-121 VetMedResource.
  • Grunfield C L & Walshaw R (1987) Open peritoneal drainage for treatment of contaminated peritoneal cavity and septic peritonitis in dogs and cats - 24 cases (1980-1986). JAVMA 191 (1), 100-105 PubMed.
  • Woolfson J M & Dulisch M L (1986) Open abdominal drainage in the treatment of generalised peritonitis in 25 dogs and cats. Vet Surg 15 (1), 27-32 VetMedResource.

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