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LEARN MOREPosted on May 17, 2024 in Abdominoplasty
A tummy tuck is a surgical procedure that removes redundant skin and soft tissues of the lower abdomen while tightening the abdominal core muscles. Drains are generally placed during surgery and are removed during early recovery. Patients often have questions regarding tummy tuck drains, so we have answered a list of common FAQs regarding drains after tummy tuck surgery.
Drains are placed to reduce fluid accumulation at the surgical site following a tummy tuck procedure. They may reduce the incidence of seromas (fluid collections) and resultant complications following a tummy tuck. Drains also indicate the amount of bleeding that is occurring during early healing. A surgical drain has several parts (photo credit MSKCC), including a fenestrated tube that is placed at the surgical site, which generally exits through a small gap in the lower abdominal incision. The drain tube does not have any holes beyond the skin level to maintain suction at the surgical site. This tube then connects to a bulb, which is placed under negative pressure to maintain suction. The bulb is gently compressed before the stopper is inserted to maintain suction at the surgical site.
You will be instructed regarding appropriate drain care prior to discharge home the morning after a tummy tuck. The stopper should be removed before measuring the amount of fluid within the bulb. The fluid amount should be recorded on your drainage sheet. It is recommended that the drains be emptied at roughly the same time every morning and evening to allow comparisons regarding 24-hour drain output. Once the fluid amount has been recorded, please empty the drain and insert the stopper while the bulb is compressed. This is important to maintain suction.
Drains are generally removed when the output has reached a low and consistent level. A ballpark is 30mL of drainage or less over a few consecutive 24-hour periods. Generally, the first drain is removed from the small incision site one week post-operatively, and the second drain is removed shortly thereafter when appropriate levels have been reached.
Patients may experience a sensation of pulling or pressure. However, there is generally no pain experienced during drain removal. Drain removal takes only a few seconds. The stitch that secures the drain is first removed, followed by gentle removal of the drainage tube. Following removal, a gauze pad should be placed over the site for a day or so until the small drainage site opening closes over.
You may take careful showers while the drains are in place. You will be instructed regarding appropriate showering care prior to discharge home following a tummy tuck. Drains may be secured to a loose loop of pantyhose tied around your waist while showering. A washcloth should be held overlying the drain sites while showering as you gently wash your incisions with soap and running water.
To learn more about our offered body contouring procedures, such as tummy tuck surgery, please contact Power Plastic Surgery in the Toronto area today. During a consultation, Dr. Power will assess whether a tummy tuck may help you achieve your aesthetic goals.
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