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Drainage der Bauchhöhle

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Praxis der Viszeralchirurgie

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Zusammenfassung

Der Einsatz von abdominellen Drainagen ist wie kaum ein anderes Thema weiterhin durch Subjektivismen und fehlende, klinisch verwertbare Studien gekennzeichnet. Die prophylaktische und routinemäßige Drainage der Bauchhöhle in elektiven Situationen kann nicht mehr generell empfohlen werden. Die therapeutische Drainage ist grundsätzlich zur Entlastung von pathologischen Flüssigkeitsverhalten indiziert. Die synthetischen Kunststoffe Polyurethan und Silikon haben die auf Naturprodukten basierenden Materialien nunmehr vollständig abgelöst. Drainagen werden unter den physikalischen Prinzipien Schwerkraft, Kapillarwirkung und Sog eingesetzt. Unterschieden wird zwischen offenen, halboffenen oder geschlossenen Drainagesystemen.

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Literatur

  • Adam U, Makowiec F, Ridieger H, Scharek WD, Benz S, Hopt UT (2004) Risk factors for complications after pancreatic head resection. Am J Surg 187:201–208

    Article  PubMed  Google Scholar 

  • Allen-Mersh TG, Sprague DB, Mann CV, Turner MJ (1989) Pelvic drainage after anterior resection of the rectum. Dis Colon Rectum 32:223

    PubMed  CAS  Google Scholar 

  • Brown SR, Seow-Choen F, Eu KW, Heah SM, Tang CL (2001) A prospective randomized study of drains in infra-peritoneal rectal anastomosis. Tech Coloproctol 25:98–92

    Google Scholar 

  • Burt BM, Brown K, Jarnagin W, DeMatteo R, Blumgart LH, Fong Y (2002) An audit of results of a no-drqainage practice polica after hepatectomy. Am J Surg 184:441–445

    Article  PubMed  Google Scholar 

  • Conlon KC, Labow D, Leung D, Smith A, Jarnagin W, Coit DG, Merchant N, Brennan MF (2001) Prospective randomized clinical trial of the value of intraperioneal drainage after pancreatic resection. Ann Surg 234:487–493

    Article  PubMed  CAS  Google Scholar 

  • Ernst R, Wiemer Ch, Rembs E, Friemann J, Theile A, Schäfer K, Zumtobel V (1997) Lokale Auswirkungen und Veränderungen von Wund drainagen in der freien Bauchhöhle. Langenbecks Arch Chir 382:380–392

    PubMed  CAS  Google Scholar 

  • Fahy BN, Frey CF, Ho HS, Beckett L, Bold RJ (2002) Morbidity, mortality, and technical factors of distal pancreatectomy. Am J Surg 183:237–241

    Article  PubMed  Google Scholar 

  • Fong Y, Brennan MF, Brown K, Heffernan N, Blumgart LH (1996) Drainage is unnecessary after elective liver resection. Am J Surg 171:158–162

    Article  PubMed  CAS  Google Scholar 

  • Fuster J Llovet JM, Farcia-Valdecasas JC, Frande L, Fondevila C, Vilana R, Palacin J, Tabet J, Ferrer J, Bruix J, Visa J (2004) abdominal drainage after liver resection for hepatocellular arcinaoma in cirrhotic patients. A randomized controlled studie. Hepatogastroenterology 51:536–540

    PubMed  Google Scholar 

  • Guo W, Andersson R, Ljungh A, Wang XD, Bengmark S (1993a) Enteric bacterial translocation after intraperitoneal implantation of rubber drain pieces. Scand J Gastroenterol 28:393–400

    PubMed  CAS  Google Scholar 

  • Guo W, Andersson R, Wang X, Bengmark S (1993b) Effect of intraperitoneal prosthetic materials on reticuloendothelial function in the rat. J Surg Res 55:80–86

    Article  PubMed  CAS  Google Scholar 

  • Ichikawa D, Kurioka H, Yamaguchi T, Koike H, Okamoto K, Otsuji E, Shirono K, Shioaki Y, Ikeda E, Mutoh F, Yamagishi H (2004) Postoperative complications following gastrectomy for gastric cancer during the last decade. Hepatogastroenterology 51:613–617

    PubMed  Google Scholar 

  • Ihse I, Anderson H, Andrèn-Sandberg Ä (1996) Total pancratectomy for cancer of the pancreas: is it appropriate? World J Surg 20:288–294

    Article  PubMed  CAS  Google Scholar 

  • Ikeguchi M, Oka S, Gomyo Y, Tsujitani S, Maeta M, Kaibara N (2001) Postoperative morbidity and mortality after gastrectomy for gastric carcinoma. Hepatogastroenterology 48:1517–1520

    PubMed  CAS  Google Scholar 

  • Jarnagin WR, Gonen M, Fong Y, DeMatteo RP, Ben-Porat L, Litte S, Corvera C, Weber S, Blumgart LH (2002) Improvement in perioperative outcome after hepatic resection: analysis of 1,803 consecutive cases over the past decade. Ann Surg 236:397–406

    Article  PubMed  Google Scholar 

  • Khurrum Baig M, Hua Zhao R, Batista O, Uriburu JP, Singh JJ, Weiss EG, Nogueras JJ, Wexner SD (2002) Percutaneous postoperative intraabdominal abscess drainage after elective colorectal surgery. Tech Coloprotol 6:159–164

    Article  CAS  Google Scholar 

  • Lennox MS (1984) Prophylactic drainage of colonic anastomoses. Br J Surg 71:10–11

    PubMed  CAS  Google Scholar 

  • Liu CL, Fan ST, Lo CM, Wong Y, Ng IO, Lam CM, Poon RT, Wong J (2004) Abdominal drainage after hepatic resektion is contraindicated in patients with chronic liver diseases. Ann Surg 239:194–201

    Article  PubMed  Google Scholar 

  • Makela JT, Kiviniemi H, Laitinen S (2003) Risk factors for anastomotic leakage after left-sided colorectal resection with rectal anastomosis. Dis Colon Rectum 46:653–660

    Article  PubMed  Google Scholar 

  • Merad F, Yahchouchi E, Hay JM, Fingerhut A, Laborde Y, Langlois-Zantain O (1998) Prophylactic abdominal drainage after elective colonic resection and suprapromontory anastomosis: a multicenter study controlled by randomization. French Associations for Surgical Research. Arch Surg 133:309–314

    Article  PubMed  CAS  Google Scholar 

  • Merad F, Hay JM, Fingerhut, A, Yahchouchi E, Laborde Y, Pelissier E, Msika S, Flamant Y (1999) Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis? A multicenter controlled randomized trial. French Association for Surgical Research. Surgery 125:529–535

    PubMed  CAS  Google Scholar 

  • Mora EM, Cardona MA, Simmons RL (1991) Enteric bacteria and ingested inert particles translocate to intraperitoneal prosthetic materials. Arch Surg 126:157–163

    PubMed  CAS  Google Scholar 

  • Raves JJ, Slifkin M, Diamond DL (1984) A bacteriologic study comparing closed suction and simple conduit drainage. Am J Surg 148:618–620

    Article  PubMed  CAS  Google Scholar 

  • Robinson JO (1986) Surgical drainage: an historical perspective. Br J Surg 73:422–426

    PubMed  CAS  Google Scholar 

  • Sagar PM, Couse N, Kerin M, May J, MacFie J (1993) Randomized trial of drainage of colorectal anastomosis. Br J Surg 80:769–771

    PubMed  CAS  Google Scholar 

  • Sagar PM, Hartley MN, MacFie J, Mancey-Jones B, Sedman P, May J (1995) Randomized trial of pelvic drainage after rectal resection. Dis Colon Rectum 38:254–258

    Article  PubMed  CAS  Google Scholar 

  • Schumpelick V, Klever P, Töns C, Zeller H (1993) Drainagen-Materialien und physikalische Grundlagen. Chirurg 64:77–84

    PubMed  CAS  Google Scholar 

  • Scott H, Brown AC (1996) Is routine drainage of pelvic anastomosis necessary? Am Surg 62:452–457

    PubMed  CAS  Google Scholar 

  • Smith L, Luna G, Merg AR, McNevin MS, Moore M, Bax TW (2004) Laparoscopic splenectomy for treatment of splenomegaly. Am J Surg 187:618–620

    Article  PubMed  Google Scholar 

  • Takano S, Ito Y, Watanabe Y, Yokoyama T, Kubota N, Iwai S (2000) Pancreaticojejunostomy versus pancreaticogastrostomy in reconstruction following pancreaticoduodenectomy. Br J Surg 87:423–427

    Article  PubMed  CAS  Google Scholar 

  • Treutner K-H; Bertram P; Müller SA, Schumpelick V (2003) Material und Struktur von Drainagen. Chirurg 74:85–90

    Article  PubMed  Google Scholar 

  • Urbach DR, Kennedy ED, Cohen MM (1999) Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis. Ann Surg 229:174–180

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Chirurgische Klinik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen

    P. Bertram (Priv.-Doz. Dr.)

  2. Chirurgie II, Schlosspark Klinik, Heubnerweg 2, 14059, Berlin

    K. -H. Treutner (Prof. Dr.)

Authors
  1. P. Bertram
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  2. K. -H. Treutner
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Editor information

Editors and Affiliations

  1. Medizinische Fakultät der RWTH, Universitätsklinik und Poliklinik, Pauwelsstr. 30, 52057, Aachen

    Volker Schumpelick

  2. Chirurgische Klinik und Poliklinik, Technische Universität München Klinikum rechts der Isar, Ismaninger Str. 22, 81657, München

    Jörg Rüdiger Siewert

  3. Zentrum für Operative Medizin I, Klinikum der Philipps-Universität, Baldinger Straße, 35043, Marburg

    Matthias Rothmund

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© 2006 Springer Medizin Verlag Heidelberg

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Bertram, P., Treutner, K.H. (2006). Drainage der Bauchhöhle. In: Schumpelick, V., Siewert, J.R., Rothmund, M. (eds) Praxis der Viszeralchirurgie. Springer, Berlin, Heidelberg . https://doi.org/10.1007/978-3-540-29042-1_16

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  • DOI: https://doi.org/10.1007/978-3-540-29042-1_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-29040-7

  • Online ISBN: 978-3-540-29042-1

  • eBook Packages: Medicine (German Language)

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