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Tube Suction Drainage: Technique and Applicability

Tube Suction Drainage: Technique and Applicability Abstract The postoperative use of negative-pressure tube suction drainage to obliterate dead space and cause adherence of flaps has gained widespread popularity here and abroad in the treatment of radical mastectomy and neck dissection wounds.1-4 A review of the literature, however, does not reveal the many other applications of this form of drainage, nor are the safeguards required in its use stressed sufficiently. Prior to the use of this method of drainage, large, bulky dressings, with varying degrees of pressure, were employed in conjunction with soft drains, usually of the Penrose type. Profuse drainage and soaked dressings were the rule where considerable dissection had been done. The danger of bacterial inoculation of the wound attendant upon soaked dressings has been repeatedly demonstrated.5 Frequent reaspiration, tenting of the axilla, and supraclavicular collections were common. The comfort and cleanliness of the patient left much to be desired. In 1952, Sheppard described References 1. Connolly, J. E.: Prevention of Postoperative Subcutaneous Fluid Collection by Suction , J. A. M. A. 157:1490, 1955.Crossref 2. Murphey, D. R., Jr.: Use of Atmospheric Pressure in Obliterating Axillary Dead Space Following Radical Mastectomy , South. Surgeon 13:372, 1947. 3. Cassie, G. F.: Negative-Pressure Drainage in Radical Mastectomy , Brit. M. J. 2:452, 1954.Crossref 4. Delarue, N. C.: Restoration of Upper Limb Function After Radical Mastectomy , Geriatrics 12:633, 1957. 5. Colebrook, L.: Infection Through Soaked Dressings , Lancet 2:682, 1948.Crossref 6. Sheppard, M. D.: Sealed Drainage of Wounds , Lancet 1:1174, 1952.Crossref 7. Raffl, A. B.: The Use of Negative Pressure Under Skin Flaps After Radical Mastectomy , Ann. Surg. 136:1048, 1952.Crossref 8. Pollack, R. S.: Tumor Surgery of the Head and Neck , Philadelphia, Lea & Febiger, 1957. 9. Lewison, E. F.: Breast Cancer and Its Diagnosis and Treatment , Baltimore, Williams & Wilkins Company, 1955. 10. Lattimore, T. J., and Koontz, A. R.: Suction Drainage After Implantation of Tantalum Gauze Sheets , J. A. M. A. 155:1333, 1954.Crossref 11. Pack, G. T., and Rekers, P. E.: The Management of Malignant Tumors in the Groin: Report of 122 Groin Dissections , Am. J. Surg. 56:545, 1942.Crossref 12. Taussig, F. J.: Primary Cancer of the Vulva, Vagina and Female Urethra: 5-Year Results , Surg. Gynec. & Obst. 60:477, 1935. 13. Taylor, G. W., and Nathanson, I. T.: Lymph Node Metastases: Incidence and Surgical Treatment in Neoplastic Disease , London, Oxford University Press, 1942. 14. Twombley, G. H.: The Technique of Radical Vulvectomy for Carcinoma of the Vulva , Cancer 6:516, 1953. 15. Baronofsky, I. D.: Technique of Inguinal Node Dissection , Surgery 24:555, 1948. 16. Gumport, S. L., and Meyer, H. W.: An Improved Technique for an Adequate Radical Groin Dissection for Malignancy , Surgery 38:660, 1955. 17. Martin, H.: Surgery of Head and Neck Tumors , New York, Paul B. Hoeber, Inc. (Medical Book Department of Harper & Brothers), 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Tube Suction Drainage: Technique and Applicability

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1958.01290020018004
Publisher site
See Article on Publisher Site

Abstract

Abstract The postoperative use of negative-pressure tube suction drainage to obliterate dead space and cause adherence of flaps has gained widespread popularity here and abroad in the treatment of radical mastectomy and neck dissection wounds.1-4 A review of the literature, however, does not reveal the many other applications of this form of drainage, nor are the safeguards required in its use stressed sufficiently. Prior to the use of this method of drainage, large, bulky dressings, with varying degrees of pressure, were employed in conjunction with soft drains, usually of the Penrose type. Profuse drainage and soaked dressings were the rule where considerable dissection had been done. The danger of bacterial inoculation of the wound attendant upon soaked dressings has been repeatedly demonstrated.5 Frequent reaspiration, tenting of the axilla, and supraclavicular collections were common. The comfort and cleanliness of the patient left much to be desired. In 1952, Sheppard described References 1. Connolly, J. E.: Prevention of Postoperative Subcutaneous Fluid Collection by Suction , J. A. M. A. 157:1490, 1955.Crossref 2. Murphey, D. R., Jr.: Use of Atmospheric Pressure in Obliterating Axillary Dead Space Following Radical Mastectomy , South. Surgeon 13:372, 1947. 3. Cassie, G. F.: Negative-Pressure Drainage in Radical Mastectomy , Brit. M. J. 2:452, 1954.Crossref 4. Delarue, N. C.: Restoration of Upper Limb Function After Radical Mastectomy , Geriatrics 12:633, 1957. 5. Colebrook, L.: Infection Through Soaked Dressings , Lancet 2:682, 1948.Crossref 6. Sheppard, M. D.: Sealed Drainage of Wounds , Lancet 1:1174, 1952.Crossref 7. Raffl, A. B.: The Use of Negative Pressure Under Skin Flaps After Radical Mastectomy , Ann. Surg. 136:1048, 1952.Crossref 8. Pollack, R. S.: Tumor Surgery of the Head and Neck , Philadelphia, Lea & Febiger, 1957. 9. Lewison, E. F.: Breast Cancer and Its Diagnosis and Treatment , Baltimore, Williams & Wilkins Company, 1955. 10. Lattimore, T. J., and Koontz, A. R.: Suction Drainage After Implantation of Tantalum Gauze Sheets , J. A. M. A. 155:1333, 1954.Crossref 11. Pack, G. T., and Rekers, P. E.: The Management of Malignant Tumors in the Groin: Report of 122 Groin Dissections , Am. J. Surg. 56:545, 1942.Crossref 12. Taussig, F. J.: Primary Cancer of the Vulva, Vagina and Female Urethra: 5-Year Results , Surg. Gynec. & Obst. 60:477, 1935. 13. Taylor, G. W., and Nathanson, I. T.: Lymph Node Metastases: Incidence and Surgical Treatment in Neoplastic Disease , London, Oxford University Press, 1942. 14. Twombley, G. H.: The Technique of Radical Vulvectomy for Carcinoma of the Vulva , Cancer 6:516, 1953. 15. Baronofsky, I. D.: Technique of Inguinal Node Dissection , Surgery 24:555, 1948. 16. Gumport, S. L., and Meyer, H. W.: An Improved Technique for an Adequate Radical Groin Dissection for Malignancy , Surgery 38:660, 1955. 17. Martin, H.: Surgery of Head and Neck Tumors , New York, Paul B. Hoeber, Inc. (Medical Book Department of Harper & Brothers), 1957.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Aug 1, 1958

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