Penrose drain

A type of surgical drain used to remove fluids from a wound

Overview

A Penrose drain is a type of surgical drain that is used to remove fluids from a wound or surgical site. It is a soft, flexible tube made of latex or silicone, which allows for the passive drainage of fluids such as blood, pus, or other secretions from the body. The Penrose drain is named after the American gynecologist Charles Bingham Penrose, who introduced it in the late 19th century.

Design and Function

The Penrose drain is typically a flat, ribbon-like tube that is inserted into a wound or surgical site. It functions by capillary action, allowing fluids to flow along the surface of the tube and out of the body. The open end of the drain is usually left outside the body, where it can be connected to a collection device or simply allowed to drain into a dressing.

File:Penrose drain.jpg

A Penrose drain in use, showing its placement in a surgical site.

The drain is often secured in place with a suture or safety pin to prevent it from slipping back into the wound. The length and size of the drain can vary depending on the specific needs of the patient and the type of surgery performed.

Uses

Penrose drains are commonly used in various types of surgeries, including:

• Abdominal surgery
• Breast surgery
• Orthopedic surgery
• Plastic surgery

They are particularly useful in situations where there is a need to prevent the accumulation of fluids that could lead to infection or delayed healing. The drain helps to reduce the risk of hematoma and seroma formation by providing a pathway for fluids to escape.

Advantages and Disadvantages

Advantages

• Simplicity: The Penrose drain is simple to use and does not require complex equipment.
• Cost-effective: It is relatively inexpensive compared to other types of surgical drains.
• Flexibility: The soft, flexible material is less likely to cause tissue irritation.

Disadvantages

• Risk of infection: As with any foreign object left in the body, there is a risk of infection.
• Limited control: The passive nature of the drain means that fluid flow cannot be actively controlled.
• Potential for displacement: The drain can become dislodged if not properly secured.

Care and Management

Proper care and management of a Penrose drain are essential to prevent complications. This includes regular monitoring of the drain site for signs of infection, ensuring that the drain remains patent, and changing dressings as needed. The drain is usually removed once the fluid output decreases and the risk of fluid accumulation is minimal.

Related pages

• Surgical drain
• Wound healing
• Postoperative care