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Re: Intraperitoneal drain removalFrom: =?utf-8?Q?Gerald_P._RodrÃguez?= (geraldpr@cybermesa.com)Sun Dec 14 08:24:52 2003
If she is doing well, afebrile, etc., I would pull the drain now. Gerald P. Rodriguez, M.D., FACOG Santa Fe
> ----- Original Message ----- Hello, A 26 yrs Pgda presented with acute abdominal pain at her 32nd week, respiratory embarrassment, and signs of internal haemorrhage. She also had early labor pains and cervical effacement. US revealed fetal ascites and intraperitoneal free fluid. An exploratory laparotomy and C.S. were performed and exploration revealed bilateral enlarged multicystic ovaries (similar to those of vesicular mole). One of the ovaries showed ruptured cyst with profuse hge. After control of bleeding, 2 litres of clotted blood were removed from the abdomen and saline wash done many times. An intraperitoneal suction drain was left and antibiotic prophylaxis was started. Today is the 4th postoperative day, the patient is vitally doing great but the drain brought 250 ml of sero-sanguineous (light red) discharge within the last 24 hours. The question is: Is there a guidelines to when should the drain be removed? And for how long you can leave an intraperitoneal drain without fearing of infection! Thank you, Dr. Abdelhamid Attia A. Prof. Ob & Gyn, Cairo University
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