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A modified combination technique for performing diagnostic peritoneal lavage

M Sugrue¹, M Seger, K Gunning

¹Trauma Department, Liverpool Hospital, Sydney, NSW, Australia.

The Australian and New Zealand Journal of Surgery

|August 1, 1995

Summary

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A new modified diagnostic peritoneal lavage (DPL) technique uses a 10 mm umbilical incision for faster catheter insertion. This cosmetically appealing method shows promising initial results with no complications in 10 patients.

Area of Science:

Surgical Innovation
Emergency Medicine
Diagnostic Procedures

Background:

Traditional diagnostic peritoneal lavage (DPL) employs small bore catheters via small incisions.
Existing DPL methods can be time-consuming and may have cosmetic drawbacks.

Purpose of the Study:

To evaluate a modified DPL technique using a 10 mm umbilical incision.
To assess the safety, cosmetic appeal, and time efficiency of the new DPL method.

Main Methods:

A modified open DPL technique was used with a 20 French catheter inserted through a 10 mm umbilical incision.
The procedure involved infusing warmed saline and observing for effusion in 10 patients.
Procedure times for catheter insertion, infusion, and effusion were recorded.

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Main Results:

The median time for catheter insertion was 2.4 minutes.
The total median procedure time was 7.6 minutes.
No complications were reported during the study.

Conclusions:

The modified DPL technique is cosmetically attractive and significantly quicker than existing methods.
Initial findings suggest this modified DPL approach is safe and effective.
Further investigation is warranted to confirm the benefits of this novel DPL technique.