Felis ISSN 2398-2950

Drain: Penrose

Contributor(s): Andrew Gardiner, Zoe Halfacree

Introduction

  • Temporary surgical implant of flattened soft latex rubber Surgical drain: Sump-Penrose drain 02 .
  • Passive drainage via combination of gravitation, capillary action and wound overflow.

Uses

Assists wound healing

  • Eliminates potential tissue dead space (eg following tumor resection ) which compromises vascular supply, phagocytic cell access and bacterial opsonization.

Provides exit route for accumulated fluid and gases

Allows drainage of contaminated exudate from a contaminated or infected wound

  • eg Drainage of fluid following surgical management of a complicated abscess.

Advantages

  • Variable sizes from 1/4 inch (6.4 mm) diameter upwards Surgical drain: Penrose .
  • Reliable simple function.
  • Low cost.
  • Passive action; no suction source required.
  • Suitable for ambulatory patients.
  • Efficiency dictated by size of surface area.
  • Fenestrating drain by itself reduces surface area and efficiency.
  • Capillary movement of fluid promoted by external bandaging.

Disadvantages

  • Low but present risk of ascending infection.
  • Unsuitable for use in body cavities active drainage.
  • Open system and therefore if the wound may connect to the pleural space the Pensrose drian is not suitable.
  • Drain itself causes some wound drainage (serosanguinous).
  • Cannot measure volume of draining fluid.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers


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