PDF(Pubmed)
Abstract：
BACKGROUND: Fragmentation of the surgical drain is an unusual negative consequence of using a drainage system postoperatively. Even though it is rare, multiple management approaches were documented in the literature.
METHODS: A 19-year-old male patient who had a history of recurrent pilonidal sinus disease that was operated on twice 4 months apart. He presented to our hospital for postoperative follow-up, during which the inserted drain was assessed. While withdrawing the drain, part of it was damaged and missed. The location of the misplaced drain was assessed by a lumbosacral region computed tomography (CT) scan. The decision was made to proceed with less invasive methods using interventional radiology techniques to avoid wide excision and incision reopening complications and prolonged healing time. A fluoroscopy procedure was performed to create three-dimensional anterolateral, frontal posterior views. Then the fragmented drain was retrieved successfully by a minimally invasive technique. The postoperative period was uneventful.
CONCLUSIONS: Drain fragmentation and/or dislodgement is a highly challenging event that requires highly innovative intervention. Multiple treatment options are available as open surgery techniques and endoscopic approaches.
CONCLUSIONS: This case highlights the potential role of fluoroscopy as an outstanding effective choice that could be carried out promptly and safely at the bedside under local anesthetic and reduce the patient\'s hospital stay.
METHODS: A 19-year-old male patient who had a history of recurrent pilonidal sinus disease that was operated on twice 4 months apart. He presented to our hospital for postoperative follow-up, during which the inserted drain was assessed. While withdrawing the drain, part of it was damaged and missed. The location of the misplaced drain was assessed by a lumbosacral region computed tomography (CT) scan. The decision was made to proceed with less invasive methods using interventional radiology techniques to avoid wide excision and incision reopening complications and prolonged healing time. A fluoroscopy procedure was performed to create three-dimensional anterolateral, frontal posterior views. Then the fragmented drain was retrieved successfully by a minimally invasive technique. The postoperative period was uneventful.
CONCLUSIONS: Drain fragmentation and/or dislodgement is a highly challenging event that requires highly innovative intervention. Multiple treatment options are available as open surgery techniques and endoscopic approaches.
CONCLUSIONS: This case highlights the potential role of fluoroscopy as an outstanding effective choice that could be carried out promptly and safely at the bedside under local anesthetic and reduce the patient\'s hospital stay.
摘要：
背景：手术引流管破裂是术后使用引流系统的一个不寻常的负面后果。虽然很罕见,文献中记录了多种管理方法。
方法：一名19岁男性患者，有复发性藏毛窦疾病史，手术间隔4个月两次。他到我们医院接受术后随访，在此期间对插入的引流管进行了评估。在抽出排水管的同时，它的一部分被损坏和遗漏。通过腰骶区域计算机断层扫描（CT）扫描评估错位引流的位置。决定使用介入放射学技术进行侵入性较小的方法，以避免广泛切除和切口重新开放的并发症以及延长的愈合时间。进行透视检查以创建三维前外侧，正面后视图。然后通过微创技术成功回收了破碎的引流。术后时间顺利。
结论：排水碎裂和/或移位是一项极具挑战性的事件，需要高度创新的干预措施。开放手术技术和内窥镜方法有多种治疗选择。
结论：本案例强调了透视作为一种出色的有效选择的潜在作用，可以在局部麻醉下在床边迅速安全地进行，并减少患者的住院时间。
方法：一名19岁男性患者，有复发性藏毛窦疾病史，手术间隔4个月两次。他到我们医院接受术后随访，在此期间对插入的引流管进行了评估。在抽出排水管的同时，它的一部分被损坏和遗漏。通过腰骶区域计算机断层扫描（CT）扫描评估错位引流的位置。决定使用介入放射学技术进行侵入性较小的方法，以避免广泛切除和切口重新开放的并发症以及延长的愈合时间。进行透视检查以创建三维前外侧，正面后视图。然后通过微创技术成功回收了破碎的引流。术后时间顺利。
结论：排水碎裂和/或移位是一项极具挑战性的事件，需要高度创新的干预措施。开放手术技术和内窥镜方法有多种治疗选择。
结论：本案例强调了透视作为一种出色的有效选择的潜在作用，可以在局部麻醉下在床边迅速安全地进行，并减少患者的住院时间。
