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Endoscopic release of retained Penrose drains: a simple solution for an old problem
A Z Beshai1, S C Flashner, P J Walther
1Department of Surgery/Urology, Duke University School of Medicine, Duke University Comprehensive Cancer Center, Durham, North Carolina.
The Journal of Urology
|April 1, 1992
Summary
A new endoscopic technique allows for the release of internally tethered Penrose drains, avoiding open surgery. This minimally invasive approach reduces patient discomfort and hospitalization for a common surgical complication.
Area of Science:
- Surgical techniques
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Penrose drains are commonly used in abdominal surgery.
- Internal tethering of Penrose drains by fascial sutures is a recognized complication.
- Correction typically requires open surgical reexploration, increasing morbidity.
Purpose of the Study:
- To describe a novel endoscopic technique for releasing internally tethered Penrose drains.
- To evaluate the feasibility and benefits of this minimally invasive approach.
Main Methods:
- Endoscopic release of the tethered drain through the existing drain tract.
- Procedure performed under local anesthesia.
- Applicable to drains placed for urological, gynecological, or general surgical indications.
Main Results:
- Successful endoscopic release of internally tethered Penrose drains was achieved.
- The technique avoids open reexploration, minimizing patient discomfort.
- Reduced hospitalization and associated costs are anticipated.
Conclusions:
- Endoscopic release is a safe and effective alternative to open reexploration for tethered Penrose drains.
- This technique offers significant advantages in managing this surgical complication.
- Broad applicability across various surgical specialties.