Silastic T tube splints for biliary repair.
Silastic rubber T tubes have been compared with latex rubber T tubes in the biliary system of dogs. It was found that Silastic rubber T tubes evoked a significant foreign body reaction within the biliary system, producing bile salt precipitation and debris. Alarmingly, in these studies in dogs, Silastic rubber T tubes did not cause sufficient intraperitoneal adhesions around the tube to form an intraperitoneal tract walling off the tube from the general peritoneal cavity. Thus, when the Silastic rubber T tube was removed, bile leakage into the peritoneal cavity occurred. Based on studies in dogs, Silastic rubber T tubes should not be used in the clinical situation in which the T tube would be removed postoperatively.
D000818:Animals; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery*; D004285:Dogs; D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation*; D005549:Foreign-Body Reaction / Q000473:pathology; D007440:Intubation / Q000009:adverse effects / Q000295:instrumentation*; D012408:Rubber / Q000009:adverse effects; D012826:Silicone Elastomers / Q000009:adverse effects; D013536:Suture Techniques
D012826:Silicone Elastomers; D012408:Rubber