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[Material and structure of drainages]
K-H Treutner1, P Bertram, S A Müller
1Chirurgische Klinik und Poliklinik, Universitätsklinikum, Rheinisch-Westfälische Technische Hochschule, Aachen. khtreutner@ukaachen.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|February 25, 2003
Summary
Surgical drainages, often silicone-based closed systems, require critical evaluation due to limited data and potential complications. Further research into material and surface properties could optimize drainage performance and reduce side effects.
Area of Science:
- Biomaterials Science
- Surgical Innovation
- Medical Device Engineering
Background:
- Surgical drainages have a long history but lack robust supporting data.
- Current preference is for closed silicone drainage systems.
- Routine operations without drainages show good outcomes, questioning their necessity.
Purpose of the Study:
- To critically evaluate the indication for surgical drainage use.
- To explore interdisciplinary research for optimizing drainage systems.
- To develop improved drainages with fewer side effects.
Main Methods:
- Review of existing data on surgical drainages.
- Analysis of complications associated with current drainage systems.
- Exploration of material science and engineering for novel drainage designs.
Main Results:
- Contradiction between the historical use of drainages and available data.
- Potential for complications with existing silicone drainage systems.
- Need for critical assessment of drainage indications.
Conclusions:
- Surgical drainage use requires critical evaluation based on evidence.
- Interdisciplinary research can enhance material, surface, and performance characteristics.
- Optimized drainages may reverse the trend of avoiding their use.