i'm 38yrs.old, 2children 14&12. would tummy tuck harm tubal ligation? Is there a tummy tuck available without drainage tubes?
Tummy Tuck Without Drainage Tubes
Doctor Answers (16)
Tummy Tuck yes, drains no
I have not used a drain in a tummy tuck for 10 years, or needed to open a wound for bleeding/fluid during that time. Drains are not fully effective in preventing fluid collections, they act as a potential path for bacteria to enter the wound, can be accidently pulled out too early, they are a nuisance for patients and may limit mobility after surgery.
Progressive tension sutures do add some time to the surgery, and can make surgery a bit more painful, but have several advantages beyond preventing large fluid collections. They give the surgeon the ability to pull the flap down across the wound and thus allow the final wound edge approximation to be performed without tension (less scarring), and with a final scar height that is lower on the abdomen and easier to hide in a bikini.
Tummy tuck without drain tubes
Yes, tummy tuck can be done without using drain tubes. It is surgeons' preference. Progressive tension suture method can eliminate the need for drain placement; however, it is more painful than tummy tuck with drains. Tummy tuck does not hurt tubal ligation as tummy tuck does not involve going intraabdominal space where fallopian tubes lie.
TummyTuck without drains
It is safe to perform a tummy tuck without drain, provided care is taken to prevent a seroma formation through a tight closure of the tummy tuck area. We have not used drains on our patients in almost two years since we started using a new closure technique and we have not had any problems. We are very happy with this as our patients love not having drains.
Martin Jugenburg, MD
You might also like...
Tummy Tuck without drains....not a great idea....
it is possible to do a tummy tuck without the use of drains, but when a pain pump is added they are really a must. The fluid put in by the pain pump can pool as can the fluid produced by the wound and this can affect the quality of the results. Why take the chance? The pain pump really minimizes pain from the surgery and the drains ....and although they are not a fan favorite, they are less bothersome than they were before pain pumps were added to the mix.
John Di Saia MD
Tummy Tuck without Drains
The short answer is that, yes, it is possible to have a tummy tuck without drains. Drains are, in fact, a little annoying.
But the question is why would any surgeons then use drains? And the answer is that if some fluid accumulates beneath the tissues (we're talking blood, serous fluid, etc) it can become infected and many if not most surgeons prefer to leave some sort of drains in place for up to a week or so to help the fluid come out. It's not THAT bad (I know, easy for me to say) and it does assist in getting that fluid out.
Of course, there are other surgeons who are comfortable doing this procedure without drains in selected cases, or even routinely. I don't know what their criteria are for doing the procedure without drains but I generally use them for a tummy tuck and would not be comfortable, in general, not using them.
I hope that this helps, and good luck,
Author of BodySculpture, EyeScapes, Restylane and The Slim Book of Liposuction
Drainage Tubes with Tummy Tuck
I always place drains at the time of a tummy tuck. I feel that they may a bit of a nuisance but that they are well worth it. They are not particularly painful and do require keeping a record of the amount of drainage. I think they are useful even if progressive tension sutures or quilting sutures are placed. As far as your previous BTL is concerned, the tummy tuck will not harm that nor make you fertile.
Tummy tuck without drains is possible
As mentioned, the technique you are referring to is called Progressive Tension Sutures. In the right patient, drains may not be necessary. I have done this several times with great success. Other times, I use one drain instead of two just to be on the safe side. Either way, you shouldn't be afraid of drains. They are only a small inconvenience and are usually removed within 5-7 days following surgery. Good luck!
No-drain tube abdominoplasty
The technique that you are asking about is called the Progressive Tension Suture method, which I have been using for more than 12 years. I do still use drains on some patients but some proponents of it believe it isn't ever necessary. Dr. Pollock in Dallas is the pioneer of the procedure. It won't have any efefct on the tubal ligation.
Tummy tuck without drains
A tummy tuck will not interfere with a tubal ligation and there are techniques that do not use drains. It is actually rare in our practice to use a drain after a tummy tuck. We use sutures between the muscle layer and the fat layer to close off the space where the drains are normally placed. Some surgeons are comfortable with this method and do it that way and some prefer to use drains. Good luck with your procedure.
No Drain Tummy Tuck without Drainage Tubes
I would disagree with the answer that suggested that there is more pain after Tummy Tuck when drainage tubes are not used. My experience is exactly the opposite. Although I suppose that it is theoretically possible the the extra stitching used when drains are not used might cause some discomfort, in all the years I have been using this technique, no patient has ever indicated discomfort at any of those sutures, although, of course, every patient has some discomfort from Tummy Tuck.
I have not found it necessary, or even useful, to use a Pain Pump with No Drain Tummy Tuck. Patients are generally up and walking around easily either the same day or the next day after surgery.
Doing the Tummy Tuck without drains is a more complicated surgery, requiring some additional operative time, and there is definitely a learning curve, so if you decide on a No Drain Tummy Tuck, be sure that your surgeon has a lot of experience doing the Tummy Tuck that way.
Tummy Tuck should have no effect on a previous Tubal Ligation, although if the Tummy Tuck is done at the same time or shortly after the Tubal Ligation, there could still be openings in the abdominal wall caused by the Tubal Ligation that might need to be taken into account.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.