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Publication:

Surgical Technology International XV - Surgical Overview

Article title:

Management of Intra-Abdominal Abscess Due to Surgical Site Infection

Author(s)

Michiya Kobayashi, M.D., Ph.D.
Associate Professor

 

Takehiro Okabayashi, M.D.
Assistant Professor

 

Tsutomu Namikawa, M.D., Ph.D.
Assistant Professor

 

Ken Okamoto, M.D.
Assistant Professor

 

Keijiro Araki, M.D., Ph.D.
Professor

Department of Tumor Surgery,
Kochi Medical School, Nankoku, Japan

Abstract

Intra-abdominal abscesses are one of the major complications that occur after Gastrointestinal Surgery. Therapeutic modalities include drainage and irrigation. This study describes the development of a new drainage and continuous irrigation system that results in less skin irritation and reduced dressing changes. This system involved the use of the Surgidrain open top™ (ALCARE, Tokyo, Japan), which consists of a sealing sheet with a drainage lumen and plastic cap. A double-lumen tube was inserted into the abscess cavity through a slit in the plastic cap. The abscess cavity could, therefore, be irrigated continuously through one lumen of the double-lumen tube, and most of the fluid could be drained through the second lumen of the double-lumen tube. Overflow fluid was drained through the Surgidrain open topTM drainage lumen. This system enabled better protection against skin complications and the ability to easily flush the abscess intermittently.