Mediastinal dissection with isolation of the GE junction utilizing a Penrose drain

Abstract Background Pulmonary tractotomy effectively treats deep pulmonary penetrating injuries; however, it requires the accurate insertion of forceps or a stapler into the wound tract. This report describes a case of tractotomy using the Penrose drain guide for a deep lung injury caused by chest drainage. Case presentation A 75-year-old man suffered multiple rib fractures and hemothorax. After admission, chest tube drainage was performed because the patient’s respiratory condition deteriorated due to increased right pleural effusion. However, as the chest tube was stabbing into the right upper lobe, a pulmonary tractotomy was performed to treat the injury. Cutting the visceral pleura just over the tip of the chest tube caused the tube to completely penetrate the lung. A Penrose drain tube was fixed to the chest tube, which was then removed. The Penrose drain tube completely penetrated the lung and was coupled to the anvil side of the stapler to guide it smoothly into the wound tract. After stapling left the wound tract open, selective suture ligation of the damaged vessel and bronchioles was performed. Conclusions Although the indications for tractotomy using the Penrose drain guide are limited, we believe that this technique can be useful in patients with deep stabbing or penetrating lung injuries with rod- or tube-shaped foreign body remnants.

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A novel laparoscopic assisted mediastinal dissection with gastric tube inversion technique for gastric tube cancer reconstructed through a retrosternal route

Annals of Gastroenterological Surgery ◽

10.1002/ags3.12473 ◽

2021 ◽

Author(s):

Tetsuya Abe ◽

Yoshihisa Numata ◽

Eiji Higaki ◽

Takahiro Hosoi ◽

Yasuhiro Shimizu

Keyword(s):

Gastric Tube ◽

Gastric Tube Cancer ◽

Inversion Technique ◽

Mediastinal Dissection ◽

Laparoscopic Assisted

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Use of a Penrose drain to remove an entrapped ring from a finger under emergent conditions

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2006.11.032 ◽

2007 ◽

Vol 25 (6) ◽

pp. 722-723 ◽

Cited By ~ 7

Author(s):

Tai-Feng Chiu ◽

Shi-Jye Chu ◽

Shyi-Gen Chen ◽

Shao-Liang Chen ◽

Tim-Mo Chen

Keyword(s):

Penrose Drain

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Inappropriate manipulation and drainage exacerbate post-operative pain and prolong the hospital stay after laparoscopic appendectomy for pediatric complicated appendicitis

BMC Surgery ◽

10.1186/s12893-021-01413-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yi-Wen Tsai ◽

Shin-Yi Lee ◽

Jyun-Hong Jiang ◽

Jiin-Haur Chuang

Keyword(s):

Hospital Stay ◽

Laparoscopic Appendectomy ◽

Pediatric Patients ◽

Complicated Appendicitis ◽

Postoperative Hospital Stay ◽

Postoperative Outcomes ◽

Chang Gung Memorial Hospital ◽

Abdominal Abscess ◽

Penrose Drain ◽

Drain Group

Abstract Background This study examined whether drain placement or not is associated with the postoperative outcomes of pediatric patients following trans-umbilical single-port laparoscopic appendectomy (TUSPLA) for complicated appendicitis. Methods The medical records of pediatric patients undergoing TUSPLA for acute complicated appendicitis from January 2012 to September 2018 in Kaohsiung Chang Gung Memorial Hospital were reviewed retrospectively. They were classified according to whether they received passive drainage with a Penrose drain (Penrose group) (19), active drainage with a Jackson-Pratt drain with a vacuum bulb (JP group) (16), or no drain (non-drain group) (86). The postoperative outcomes of the three groups were compared. Results Postoperative visual analog scale pain score was significantly higher in the non-drain group than in either the JP group or Penrose group. Patients in the Penrose group had a significantly longer postoperative hospital stay than those in the non-drain group and a higher rate of intra-abdominal abscess, while patients in the JP group had a significantly shorter postoperative hospital stay; moreover, no patient in JP group developed a postoperative intra-abdominal abscess. Conclusions Compared to passive drainage with a Penrose drain or no drain, active drainage with a JP drain shorter the postoperative hospital stay and decreased the risk of postoperative intra-abdominal abscess.

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Systematic bilateral mediastinal dissection and en bloc pulmonary resection through the median sternotomy

Lung Cancer ◽

10.1016/0169-5002(91)91620-q ◽

1991 ◽

Vol 7 ◽

pp. 75 ◽

Cited By ~ 2

Author(s):

E. Hata ◽

H. Miyamoto ◽

Y. Mitoma ◽

K. Hayakawa

Keyword(s):

Pulmonary Resection ◽

Median Sternotomy ◽

En Bloc ◽

Mediastinal Dissection

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Penrose of the Penrose drain

Gastroenterology ◽

10.1053/gast.2002.0050201215 ◽

2002 ◽

Vol 122 (5) ◽

pp. 1215

Author(s):

William S. Haubrich

Keyword(s):

Penrose Drain

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Thyroid Lymphosonography: A Novel Method for Evaluating Lymphatic Drainage

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940911800908 ◽

2009 ◽

Vol 118 (9) ◽

pp. 645-650 ◽

Cited By ~ 6

Author(s):

Joseph M. Curry ◽

Waleed H. Ezzat ◽

Daniel A. Merton ◽

Barry B. Goldberg ◽

David M. Cognetti ◽

...

Keyword(s):

Thyroid Gland ◽

Sentinel Node ◽

Sentinel Node Biopsy ◽

Lymphatic Drainage ◽

Blue Dye ◽

Lymphatic Channel ◽

Superior Mediastinum ◽

Mediastinal Dissection ◽

Node Biopsy ◽

Contrast Enhanced

Objectives: We evaluated lymphosonography, or contrast-enhanced, ultrasonography (US)–guided sentinel lymph node (SLN) detection, as a technique for demonstrating the lymphatic drainage of the thyroid gland. Methods: In this prospective animal study, four 50-kg Yorkshire swine underwent transcutaneous injection of a US contrast agent and methylene blue dye into the thyroid gland. Contrast-enhanced US was used to identify draining lymphatic channels and SLNs. Sentinel node biopsy was conducted. Subsequently, bilateral neck and upper mediastinal dissection was carried out. Results: In 3 of 4 cases, a blue dye–positive and US contrast–positive SLN was identified. We identified SLNs in level IV in 2 cases. One case revealed 2 adjacent nodes in the superior mediastinum. In 1 case, a lymphatic channel was identified traveling into the mediastinum, but exposure of the SLN could not be obtained. No residual blue dye–positive or US contrast–positive nodes were identified on subsequent dissection. Conclusions: Lymphosonography of the thyroid gland in a porcine model correlates well with blue dye–guided sentinel node biopsy and is technically feasible, although in some cases access to the SLN may be difficult. This technique could potentially enable a detailed analysis of thyroidal lymphatic drainage if applied to humans.

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