title: Management of intra-abdominal abscess due to surgical site infection.
abstract: Intra-abdominal abscesses are one of the major complications that occur after Gastrointestinal Surgery. Therapeutic modalities include drainage and irrigation. This study describes the development of a new drainage and continuous irrigation system that results in less skin irritation and reduced dressing changes. This system involved the use of the Surgidrain open top (ALCARE, Tokyo, Japan), which consists of a sealing sheet with a drainage lumen and plastic cap. A double-lumen tube was inserted into the abscess cavity through a slit in the plastic cap. The abscess cavity could, therefore, be irrigated continuously through one lumen of the double-lumen tube, and most of the fluid could be drained through the second lumen of the double-lumen tube. Overflow fluid was drained through the Surgidrain open top drainage lumen. This system enabled better protection against skin complications and the ability to easily flush the abscess intermittently.
authors.affiliation: Department of Tumor Surgery, Kochi Medical School, Nankoku, Japan.
authors.forename: Michiya
authors.initials: M
authors.lastname: Kobayashi
authors.forename: Takehiro
authors.initials: T
authors.lastname: Okabayashi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Namikawa
authors.forename: Ken
authors.initials: K
authors.lastname: Okamoto
authors.forename: Keijiro
authors.initials: K
authors.lastname: Araki
mesh_terms: D018784:Abdominal Abscess / Q000209:etiology* / Q000628:therapy*; D004322:Drainage / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D013530:Surgical Wound Infection / Q000150:complications* / Q000628:therapy*; D007507:Therapeutic Irrigation / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome