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[Drainage for Subcutaneous Emphysema after Pulmonary Resection]
Yasunobu Funakoshi1, Kenichi Ohmori, Shinichi Takeda
1Department of Thoracic Surgery, Osaka General Medical Center, Osaka, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|May 26, 2016
Summary
Subcutaneous Penrose drainage effectively manages severe subcutaneous emphysema after pulmonary resection. This simple technique provides immediate relief for patients experiencing this common post-operative complication.
Area of Science:
- Thoracic Surgery
- Surgical Complications
- Pulmonary Medicine
Context:
- Severe subcutaneous emphysema is a potential complication following pulmonary resection surgery.
- Management of this condition can be challenging, impacting patient recovery.
Purpose:
- To evaluate the efficacy of subcutaneous Penrose drainage in managing severe subcutaneous emphysema post-pulmonary resection.
Summary:
- Ten patients with severe subcutaneous emphysema after pulmonary resection were treated with subcutaneous Penrose drainage.
- The water seal test indicated minimal or no air leakage in all patients at chest closure.
- Chest X-rays revealed minimal pneumothorax in most patients.
- Subcutaneous drains were placed strategically, and immediate improvement was observed with active compressive massage.
Impact:
- Subcutaneous Penrose drainage offers an easy and effective method for relieving massive subcutaneous emphysema.
- This approach can improve patient outcomes and reduce recovery time after thoracic surgery.
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