|LETTER TO EDITOR
|Year : 2019 | Volume
| Issue : 2 | Page : 52-53
A novel method of suctioning irrigating fluids in abdominal surgeries
Shabeer Ahmad Wani, Mehmood Ahmad Wani, Diana Anne L. Alcala, Marry Grace Untalan
King Fahad Medical City, Riyadh, Saudi Arabia
|Date of Submission||30-Nov-2019|
|Date of Acceptance||19-Dec-2019|
|Date of Web Publication||17-Jul-2020|
Dr. Shabeer Ahmad Wani
MBBS, MS(Surgery), MCh (Plastic Surgery), MRCS, associate consultant plastic surgery, King Fahad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Wani SA, Wani MA, Alcala DA, Untalan MG. A novel method of suctioning irrigating fluids in abdominal surgeries. Nigerian J Plast Surg 2019;15:52-3
|How to cite this URL:|
Wani SA, Wani MA, Alcala DA, Untalan MG. A novel method of suctioning irrigating fluids in abdominal surgeries. Nigerian J Plast Surg [serial online] 2019 [cited 2020 Aug 5];15:52-3. Available from: http://www.njps.org/text.asp?2019/15/2/52/290017
Closure of abdominal wound is an important step of abdominal surgeries. Wound closure is associated with well-known complications like wound infection, dehiscence, suture sinus formation, chronic wound pain, incisional hernias. Among all complications, surgical site infections are the most common, result in delay of wound healing. Rate of development of surgical site infection depends on type of abdominal wound.
Intraoperative surgical site irrigation is a common practice in surgical procedures with all disciplines advocating some form of irrigation before incision closure.
Surgical irrigation delivery includes choosing delivery method, pressure, continuous, or pulsatile flow. Delivery method choice appears to be driven by pressure limitations associated with user preference. Pressure canisters, piston syringes, and bulb syringes are commonest methods.
Conventionally during irrigation two kidney basins are kept besides patient abdomen to suck the irrigating fluid [Figure 1]. This method is oldest and stood the test of time. Although quite large amount of fluid will spill on the floor of operating room. We tried to search in the literature any alternative method but could not get any other one.
We are describing our innovative method. Once we are starting irrigation, we keep two large Deaver retractors by the side of patient abdomen with tip of retractor in slanting up position and keep Yankauer suction tip on them to suck the fluid [Figure 2]. This method is not described in medical literature. By this method there is no spillage of fluid on the side of patient and floor. This method is easy, neat, and tidy.
| Financial support and sponsorship|| |
Conflicts of interest
There are no conflicts of interest.
| References|| |
Walming S, Angenete E, Block M et al.
Retrospective review of risk factors for surgical wound dehiscence and incisional hernia. BMC Surg 2017;17:19-26.
Prucz RB, Sullivan SR, Klein MB. Acute wound care. ACS surgery: principles and practice. Ontario, Canada: Decker intellectual properties; 2012.
[Figure 1], [Figure 2]