[Rehabilitation of Mikulicz's drain. An irreplaceable procedure in difficult drainage].
Following technical consideration on the use of Mikulicz's drain, with emphasis on introduction and irrigation with hydrogen peroxide, the authors describe its advantages: wide drainage, extraperito-nealization of the septic focus and removal without general anaesthesia. Such advantages clearly overcome the drawbacks which are now reduced by a strict and well codified application of this type of drain: prolonged purulent discharge, fistulae and incisional hernias are rare. Nowadays, the Mikulicz's drain is mainly indicated in diffuse peritonitis (notably post-operative) difficult bleeding control, pelvectomy and hepatectomy.
D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006488:Hemostasis, Surgical / Q000379:methods; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D010538:Peritonitis / Q000601:surgery; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery; D007507:Therapeutic Irrigation
Réhabilitation du sac de Mikulicz. Un procédé irremplaçable dans les drainages difficiles.