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Related Experiment Videos

Using a Full-depth Wound Drainage System to Decrease Wound Infection Rates in the Morbidly Obese.

Kwon Lee S1, Schreiber, Howe

  • 1Department of Surgery, MetroHealth St. Luke's Medical Center, Cleveland, OH 44104 USA.

Obesity Surgery
|December 1, 1991
PubMed
Summary

Morbidly obese patients undergoing surgery face higher risks of wound complications. A novel full-depth wound drainage system effectively reduced surgical site infections in these patients.

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Area of Science:

  • Bariatric Surgery
  • Wound Management
  • Surgical Complications

Background:

  • Morbidly obese patients have increased risk of wound complications like hematomas and seromas.
  • Deep subcutaneous tissue in obese patients creates dead spaces, complicating wound healing.
  • Existing wound drainage systems may not adequately address these challenges.

Purpose of the Study:

  • To revise an existing wound drainage system for morbidly obese surgical patients.
  • To reduce the incidence of wound complications, specifically infections, hematomas, and seromas.
  • To evaluate the efficacy of a novel full-depth drainage system in vertical banded gastroplasty patients.

Main Methods:

  • Revision of an existing wound drainage system using cut Davol drain segments.

Related Experiment Videos

  • Incorporation of a Velcro binder to minimize lateral wound stress.
  • Application of the modified full-depth drain in 384 morbidly obese patients undergoing vertical banded gastroplasty over 10 years.

    • Main Results:

    • Zero in-hospital wound infections were reported among the 384 patients.
    • Three patients (0.78% infection rate) developed wound abscesses one month postoperatively.
    • The modified drainage system was associated with a low overall surgical site infection rate.

    Conclusions:

    • The revised full-depth wound drainage system is effective in managing wound complications in morbidly obese patients.
    • This innovative drainage approach appears to be a significant factor in achieving low surgical site infection rates.
    • The system's design addresses the mechanical stresses and dead spaces inherent in obese surgical patients.