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Peyton Mashni1, Clare Savage2, Michael Jax3

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Summary
This summary is machine-generated.

Securing pigtail catheters with two simple interrupted skin sutures offers superior tensile strength compared to other methods. This technique provides a low-risk, high-benefit solution for preventing accidental catheter removal.

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Area of Science:

  • Medical Devices
  • Surgical Techniques
  • Wound Closure

Background:

  • Accidental catheter removal and drain dislodgment are frequent, high-risk complications.
  • These events can lead to additional procedures, extended hospital stays, and increased healthcare costs.

Purpose of the Study:

  • To compare the tensile strength of pigtail catheter fixation methods.
  • Evaluate fixation using simple interrupted suture, U-stitch suture, or two simple interrupted skin sutures.

Main Methods:

  • A standardized skin model was used to test catheter fixation techniques.
  • Catheters were sutured to the skin, penetrating the collagen layer, using three distinct methods.
  • Tensile strength was measured by the force required to break the suture or knot.

Main Results:

  • Breakage consistently occurred at the suture or knot.
  • The two simple interrupted skin suture technique demonstrated significantly higher tensile strength (P < .001).
  • This method withstood nearly 40% more force than single interrupted or U-stitch techniques, validated in a sheep model.

Conclusions:

  • Two simple interrupted skin sutures provide robust fixation for pigtail catheters.
  • This technique presents a low-risk, highly beneficial approach to prevent catheter dislodgement.