Effect of double cannula continuous irrigation/ suction drainage on treatment of severe intra-abdominal infection
YANG Jie1, SHANG Xianzhang2, LIANG Guoxing3,YIN Cong2, and ZHANG Xusheng2
1.Department of General Surgery, Bayinnaoer City Hospital, Bayinnaoer Inner Mongolia 015000, China; 2. Department of General Surgery, 3.Department of ICU, Guangdong Provincial Crops Hospital of Chinese People’s Armed Police Force, Guangzhou 510507, China
Abstract：Objective To explore the effect of continuous irrigation/suction drainage by the double cannula in the treatment of severe intra-abdominal infections.Methods Retrospective analysis was conducted of the clinical data on 46 patients with severe intra-abdominal infections who had received treatment in Guangdong Provincial Crops Hospital of Chinese People’s Armed Police Force between September 2012 and September 2017. These patients followed the principle of Damage Control Surgery (DCS). After active fluid resuscitation, emergency surgery was performed to control the infection source with a simple surgical method. The intra-abdominal infection and necrotic tissue were cleared, the abdominal cavity extensively washed, continuous irrigation/suction drainage by the double cannula was placed beside the repaired intestinal rupture or anastomotic leakage, followed by postoperative comprehensive ICU treatment. During negative pressure drainage, the color, quantity and character of the double cannula drainage fluid were observed, the blood routine, C-reactive protein and procalcitonin were detected dynamically, and abdominal ultrasound or CT was dynamically performed.Results Among the 46 patients, 3 died (6.5%), one of whom died of septic shock and DIC within 24 hours, and the other two died due to multiple organ failure within 2 d and 5 d after operation. The rest of the cases were cured (93.5%), two of whom had intestinal/anastomotic leakage, one was cured by double cannula continuous irrigation/suction drainage, another one was cured after reoperation. None of these patients with intra-abdominal infection received a second surgery.Conclusions According to the principle of DCS, application of continuous irrigation/suction drainage by the double cannula in the treatment of severe intra-abdominal infection can increase the success rate of treatment, reduce reoperation and mortality.
Morykwas M J, Argenta L C, Shelton-Brown E I, et al. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation [J].Ann Plast Surg,1997,38(6): 553-556.
Tani T,Tsutamoto Y,Eguchi Y,et al.Protease inhibitor reduces loss of tensile strength in rat anastomosis with peritonitis[J].J Surg Res,2000,88(2):135-141.
2018, Vol. 29 
