Application effect of self-made leak-proof drainage bag in treating perioperative ascites leakage of patients with laparoscopic splenectomy and pericardial devascularization

Objective  To observe the application effect of self-made leak-proof drainage bag in treating perioperative ascites leakage of patients with laparoscopic splenectomy and pericardial devascularization.

Methods  A total of 67 patients with ascites leakage after laparoscopic splenectomy and pericardial devascularization from January 2016 to August 2022 in the Clinical Medical College of Yangzhou University were selected as research objects. Among them, 33 patients treated with traditional dressing change methods in May 2019 and before were assigned to control group, and 34 patients treated with self-made drainage bag in June 2019 and thereafter were assigned to observation group. The relevant surgical indicators were compared between two groups.

Results  All the patients successfully completed the surgeries. The operation time and the intraoperative blood loss in the observation group were (164.7±21.2) min and (83.2±78.8) mL, which showed no significant differences when compared to (159.1±19.8) min and (92.1±82.7) mL in the control group (P>0.05). In the observation group, the time to primary bed-off activity after operation, time of bed-off activity per week, the time to anal exhaust after operation and postoperative hospital stay were (2.6±0.8), (5.3±0.8), (2.7±0.7) and (10.3±1.7) days respectively, which were significantly better than (3.3±0.6), (3.3±1.2), (3.5±1.1) and (12.4±1.0) days in the control group (P < 0.05). The frequency of calls for nursing per week, the frequency of dressing change per week, the cost of dressing change per week and the complaint rate of patients in the observation group were (2.5±1.1) times, (2.4±0.6) times, (60.7±7.3) Yuan RMB and 0.29% (1/34) respectively, which were significantly lower than (14.8±2.8) times, (11.4±2.0) times, (147.7±26.2) Yuan RMB and 75.76% (25/33) in the control group (P < 0.05).

Conclusion  Self-made portable leak-proof drainage bag has a significant effect in preventing and treating ascites leakage after laparoscopic splenectomy and pericardial devascularization, and it can not only reduce the workload of nursing staffs and clinicians, but also can improve the compliance of postoperative nursing, promote rapid postoperative recovery, and increase satisfaction degree.