Surgical Incision Simple Abdominal Drain (SISA Drain) in Obstetrics and Gynaecology Practice in Low Resource Settings to Reduce Morbidity

Solomon Kwabena Gumanga, Noah Kofi Lartey, and Egyakow Miaful Amponsa-Dadzie

Abstract

During the performance of some obstetric and gynaecologic procedures it may be impossible to achieve satisfactory haemostasis and the surgeon wishes to monitor intraabdominal potential blood loss, additionally there may be possibility of urine leakage from the bladder or ureter, or potential accumulation of other fluids in the pelvis and abdomen at the end of the procedure. In any such situation, consideration and selection of a suitable and effective method on how to drain the pelvis and abdomen using existing abdominal drain types or packing the abdomen is made. SISA drain is an option to consider for use in obstetrics and gynaecology following such complicated operative procedures to prevent accumulation of blood, other fluids and air in the pelvis or lower abdominal cavity. Failure to recognize the need for an intervention such as use of an abdominal drain would result in the need of relaparotomy to evacuate accumulated intraabdominal or pelvic fluids with subsequent associated morbidity or mortality. The SISA drain is an effective, cheap and readily available option in low resource health facilities. This paper discusses prophylactic use of abdominal drains in obstetrics and gynaecological practice and describes the application of Surgical Incision Simple Abdominal drain (SISA drain) using existing sterile large(2000mls) urine drainage/collection bag during difficult and complex obstetrics and gynaecological procedures to reduce morbidity in low resource settings. In conclusion in low resource settings, understanding and ability to adapt to use some simple applications of cheap devices like the SISA drain can contribute to reduction in morbidity which may prevent some mortalities whiles saving precious and scarce resources.

Keywords

SISA drain; abdominal drain; relaparotomy; abdominal packing; haemoperitonium; ascites.

Cite This Article

Gumanga, S. K., Lartey, N. K., Amponsa-Dadzie, E. M. (2024). Surgical Incision Simple Abdominal Drain (SISA Drain) in Obstetrics and Gynaecology Practice in Low Resource Settings to Reduce Morbidity. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 5: Sep-Oct 2024, Pages 966-971, URL: https://www.ijscia.com/wp-content/uploads/2024/10/Volume5-Issue5-Sep-Oct-No.673-966-971.pdf

Volume 5 | Issue 5: Sep-Oct 2024