In this episode, we provide a practical, evidence-based review of abdominal drains—when to use them, how to place them safely, and how to manage them postoperatively. We discuss indications, contraindications, drain selection (passive vs. closed-suction systems), and key procedural steps to optimize positioning and minimize complications. The episode also covers postoperative monitoring, biochemical analysis of drain output for early detection of leaks, and criteria for timely removal.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Rekavari SG, Mahakalkar C. Prophylactic Intra-abdominal Drains in Major Elective Surgeries: A Comprehensive Review. Cureus. 2024 Feb 12;16(2):e54056. doi: 10.7759/cureus.54056. PMID: 38481916; PMCID: PMC10933947
3) Ramesh BA, Evans JT, Marietta M, et al. Suction Drains. [Updated 2025 Feb 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557687/