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LETTER TO EDITOR
Year : 2019  |  Volume : 15  |  Issue : 2  |  Page : 52-53

A novel method of suctioning irrigating fluids in abdominal surgeries


King Fahad Medical City, Riyadh, Saudi Arabia

Date of Submission30-Nov-2019
Date of Acceptance19-Dec-2019
Date of Web Publication17-Jul-2020

Correspondence Address:
Dr. Shabeer Ahmad Wani
MBBS, MS(Surgery), MCh (Plastic Surgery), MRCS, associate consultant plastic surgery, King Fahad
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njps.njps_11_19

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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.[1]

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.[2]

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.
Figure 1 Conventional way of irrigation.

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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.
Figure 2 Our method of suction of irrigation fluid on Deaver retractor.

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  Financial support and sponsorship Top


Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
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.  Back to cited text no. 1
    
2.
Prucz RB, Sullivan SR, Klein MB. Acute wound care. ACS surgery: principles and practice. Ontario, Canada: Decker intellectual properties; 2012.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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