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Use of digital Suction drainage for VATS and Robotic surgery
Kamran Ali, Shaiwal Khandelwal, Narendra Agarwal, Sangeeta Khanna, Ali Zamir Khan.
Medanta, The Medicity, Gurgaon, India.
OBJECTIVE: We present outcomes of use of Medela digital suction drainage for complex VATS and Robotic surgery cases.
METHODS: Between January and December 2012, 115 patients had medela digital suction device following Complex VATS and Robotic thoracic surgery. Suction was set at 2 Kpas and daily recordings were maintained. Drains were removed at 20 mls. Early mobilisation was encouraged with Yoga and vigorous chest physiotherapy.
RESULTS: Age group was between 4 to 88 years (mean 56 years). Average drainage was 458 mls. 2 patients drained 1.5 liters needing change of bottle. Mobilisation along with Yoga was started on day one. Good radiological outcomes were experienced in all patients. Mean drain dwell time was 2 days for all cases except for decortication where the drain dwell time was 5 days. No patient needed conversion to regular chest drain. All staff demonstrated a high level of comprehension and satisfaction with management of digital drain. One night call out was noted due to bleeping of device.
CONCLUSIONS: Use of Medela digital suction devices allows early mobilisation, early removal of drains and shorter hospital stay. It aides good clinical outcomes in complex VATS and Robotic thoracic surgery
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