Dead space Flashcards
Why do we want to avoid dead space?
Slows healing
Increase risk of infection
2 ways that dead space can slow healing?
Seperation of tissue layers, hard for fibrin bridge to form
Blood supply is compromised
3 ways to minimize dead space
Meticulous minimalist technique
mayo dissection
Remove only target tissue, no lipo
4 ways to manage dead space once it is inherently there?
layered wound closure
tacking sutures
compression bandage
drainage
What is a really good reason to not use a surgical drain?
Significant contamination or more debridement needed
Passive drains work by?
gravity
capillary action
pressure gradients
What is the most common type of drain
penrose drain
What is the most common type of drain
penrose drain
Should you leave drains uncovered?
No always cover
Exit wound for a passive drain should always be?
Ventral and not part of the wound itself
When should you remove a drain?
few days or whenever not functional or when small amounts of clear fluid are all that comes out
3 specialized drainage techniques
Omentalization
Open wound drainage
Vacuum assisted closure
Once you are done with it how do you treat the exit wound for a drain?
Bandage over top of it for 58 hours
3 big technical tips for drains
Suture in exit,
exit hole 2x width of the drain
always ventral and always rinse befor euse
