title: [Wound secretions in standard orthopedic surgery interventions using a new kind of closed vacuum drainage. A report of experiences].
abstract: One year's experience with 400 closed Redyrob drainage systems in 267 male and female patients has yielded encouraging results, which led to the replacement of the drainage system formerly used in the orthopaedic university clinic in Marburg by the new system. This makes it possible to regulate the suction strength between 0 and 900 mbar and to couple two suction tubes with one container. Drainage without suction and changing of the containers, which may be necessary in the case of large wound surfaces, can be performed without opening the system, which would endanger both patients and clinic personnel. Additional containers were only needed in 2.3%, because of the better filling volume. Thus, the new drainage system also proved to be superior with respect to cost efficiency and disposal. The total amount of wound secretion never exceeded 1620 ml, depending on the type of surgery performed, and there were no cases of infection or bleeding complications. The suction was regulated in 74% of all systems, and after most of the operations for insertion of endoprostheses. The handling of the systems was classed by the staff on the ward as "very good" or "good" in 96% of all cases. These results are discussed in the light of important aspects of wound drainage already mentioned by other authors.
authors.affiliation: Orthopädische Universitätsklinik Marburg/Lahn.
authors.forename: M
authors.initials: M
authors.lastname: Pfeiffer
authors.forename: P
authors.initials: P
authors.lastname: Schuler
authors.forename: T
authors.initials: T
authors.lastname: Wirth
authors.forename: P
authors.initials: P
authors.lastname: Griss
mesh_terms: D000328:Adult; D006622:Hip Prosthesis; D006801:Humans; D007720:Knee Prosthesis; D009983:Orthopedic Equipment; D010027:Osteotomy / Q000295:instrumentation; D011182:Postoperative Care / Q000295:instrumentation; D013396:Suction / Q000295:instrumentation*; D013523:Surgical Equipment
vernacular_title: Sekretverluste bei orthopädisch-chirurgischen Standardeingriffen unter Anwendung einer neuartigen geschlossenen Vakuumdrainage. Ein Erfahrungsbericht.