Extubation Time Of All Kinds Of Abdominal Drainage Tube?
Nov 22, 2022
The placement of abdominal drainage tube in appendectomy should be decided according to the pathological status of appendicitis, the operation time, the treatment of the appendix by the surgeon and the treatment of abdominal exudate. Textbooks are generally more general, principles, not practical, in the actual work, we are so mastered.
1. Simple appendicitis: no drainage.
2. Suppurative appendicitis: implemented within 72 hours after the disease, the treatment of the base of the appendix is assured, wipe the local exudation, no drainage. If the operation is performed 72 hours later, drainage should be taken when the patient is worried.
3. Perforated or gangrenous appendicitis: implemented within 72 hours after the disease, the treatment of the base of the appendix is assured, after thoroughly flushing the right lower abdomen and pelvic cavity, no drainage tube is put. Otherwise, place a drainage tube.
4. Abscess around the appendix: mostly by 2, 3 types of appendicitis, not timely operation and the formation of the time has been more than 72 hours, in principle to take non-surgical treatment. If necessary, the operation type is abscess incision and drainage, and the conditions can be appendectomy or no appendectomy. All drainage tubes should be placed.
