Reappraisal of Penrose drain stabilization

Reappraisal of Penrose drain stabilization Eur J Plast Surg (2004) 27:46 DOI 10.1007/s00238-003-0581-y LE TT ER TO T H E E DITOR N. Sarifakioglu · G. Aslan · A. Terzioglu · F. Bingul Received: 25 August 2003 / Accepted: 3 November 2003 / Published online: 10 March 2004 Springer-Verlag 2004 Dear Sir, To diminish dead space after post-surgical closure, drains are often used in reconstructive, head and neck surgery. As rubber or vacuum silicone drains have a rigid struc- ture, they can be sutured easily. The defect occurring after the removal of the drain and its attachment frequently heals secondarily. In this situation, early revision or late- scar correction surgery are rarely required. Penrose drains of various sizes can be used when indicated. Since these drains have a fairly soft and slippery structure, they can be removed easily and this results in a temporary defect in the area where they have placed. As there is secondary healing of the drain site, scar revision may be required (especially in the parotid and facial areas). Although they stay in place better than rigid drains and can be sutured easily, secondary wound closure is the main problem. If the drains which are placed into the parotid or head and neck regions have little or no leakage after 48 h, they are Fig. 1A–F Diagram of fixation of the drain and closure of the wound with mattress suture after removal of the drain . A–C (upper removed, and the remaining skin defect heals secondarily. row), closure of the wound with mattress suture, insertion of the Srirompotong and Srirompotong suggest that retention drain and tying the knot; D–F (lower row), fixation of the drain and of a drain over the long term may cause emphysema in the closure of the wound after removal of the drain head and neck region [1]. The areas in which the drain has been placed may be mobile, and because of the movement of the facial structures the drain scar may expand and easy closure of the skin defect after drain removal. Many widen. authors may have used this method in the past. However, To overcome this problem, nylon sutures were used to there have been no data in the literature regarding secure the Penrose drains. In this technique a horizontal stabilization of the Penrose drain or the knotting tech- mattress suture was tied around the Penrose drain and, nique as described above. after a loop, the suture perforated the drain and secured it We suggest that this attachment technique may be used onto the operative field. After removal of the drain, the to obtain an acceptable scar in regions such as perioral remaining suture closes the defect without need for any and/or parotid cheek areas in which we have placed local anesthesia (Fig. 1). With this technique, we can Penrose drains. We wish to bring this simple, beneficial, provide both attachment for the drain on mobile areas and effective, and old knotting technique to the surgeon’s attention. N. Sarifakioglu ( ) · G. Aslan · A. Terzioglu · F. Bingul Department of Plastic and Reconstructive Surgery, Ankara Training and Research Hospital, References Cebeci, Ankara, Turkey e-mail: 1. Srirompotong S, Srirompotong S (2002) Surgical emphysema Tel.: +90-312-2126262, Fax: +90-312-2213276 following intraoral drainage of buccal space abscess. J Med Assoc Thai 85(12):1314–1316 N. Sarifakioglu Angera Evleri, F-6 Blok No: 40, 06800 Beysukent, Ankara, Turkey European Journal of Plastic Surgery Springer Journals

Reappraisal of Penrose drain stabilization

1 page

Loading next page...
1 Page
Copyright © 2004 by Springer-Verlag
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial