Felis ISSN 2398-2950

Peritoneal drainage technique

Contributor(s): Andrew Gardiner, Zoe Halfacree

Introduction

  • Removal of exudate from peritoneal cavity  Peritoneal tap: turbid 02  Peritoneal fluid: septic 01 .
  • Intermittent warmed saline lavage.

Uses

Open peritoneal drainage

  • Treatment of diffuse peritonitis (combined with laparotomy and peritoneal lavage) due to:
    • Septic peritonitis  Peritonitis :
      • Intestinal perforation.
      • Ruptured pyometra  Pyometra .
      • Post-surgery.
  • Chemical peritonitis:
    • Bile/urine leakage.
    • Gastric/pancreatic secretions.
  • Mechanical peritonitis:
    • 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.

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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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Robben J H (1998) Catheters, drains and tubes. Vet Q 20 (Suppl 1), S59-60 PubMed.
  • Culvenor J A (1997) Peritonitis following intestinal anastomosis and enteroplication in a kitten with intussusception. Aus Vet J 75 (3), 175-177 PubMed.


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