A new adaptation for a secure surgical drain placement and a comparison with four common drain fixation methods

A new simple and innovative technique for surgical drains fixation

Seroma is a common complication post many plastic surgery procedures. To overcome this issue, drain insertion became a standard of care in many procedures. Existing methods for fixing the drain like the Roman sandal, purse string, and mesentery have limitations, including loosening and skin problems. A new, innovative, and efficient drain fixation technique is introduced in this paper. It involves using silk or similar non-absorbable sutures in a simple five-step process. This method ensures secure drain placement without undesirable outcomes. It avoids the need to force a knot over the skin, reducing the risk of skin damage or necrosis. In conclusion, the study introduces a straightforward, safe, and effective drain fixation method, reducing risks associated with fluid accumulation after surgery.

A Novel Silicone Fixation Dressing: A Possibly Ideal Method for Drainage Tube Fixation

Introduction. Some issues of drainage tube after surgery, such as unplanned extubation and local pain, have been puzzling surgeons. Methods. We designed a product that uses a two-way wrap technique to fix the tube in place, absorption pad to absorb excess fluid spill around the tube and a restickable silicone adhersive property which maintains the adhersive strength of the fixation for at least 10 days. Result. The preliminary clinical studies results showed a possibly better fixation property by giving the drainage tube a firmer hold, easy to use device and a relatively painless noninvasive procedure method as compared to the traditional drainage fixation. Conclusion. The novel silicone fixation dressing has graced surgery with innovation by improving on the flaws associated with the traditional drain fixation. Making it a possibly ideal method for drainage tube fixation and highly recommended for clinical use.

Novel self-fixation chest drain device tested in a swine model of pneumo-hemothorax

INTRODUCTION

Thoracic injuries account for 20-25% of trauma-related deaths. In cases of pneumothorax the insertion of a chest tube is mandatory but associated with high complication rates particularly when inserted under difficult conditions. The C-Lant is a novel chest-tube insertion device that provides integrated double fixation capabilities and can be used by responders with minimal experience. The aim of the study was to test the device in a large animal model.

MATERIAL AND METHODS

Pneumothorax, tension pneumothorax, and hemothorax were induced in four white domestic female pigs. The C-Lant device (Vigor Medical Technologies, Haifa, Israel) was inserted as any chest-drain to decompress the thorax. Pull test was applied to test the strength of device fixation.

RESULTS

The insertion of the device was simple and effective without detectable negative physiological effects. Reliable fixation was achieved without difficulty. Air and liquid were promptly drained from the chest cavity. Minimal tissue laceration occurred when applying the device in a scenario of erroneous pneumothorax diagnosis with fully expanded lungs. Interconnection with other surgical accessories was smooth.

CONCLUSION

The C-Lant is a novel device that facilitates easy insertion and fixation of chest-tubes by minimally experienced medical providers and reduces the likelihood of unwanted expulsion. Clinical studies are planned.