How Much Fluid Should Be Draining in a Day in Order for my Jp Drains to Be Taken Out?

Question

two children twenties not over weight (just extra skin) good shape

Vivek Bansal, MD · Answer

Different surgeons have different criteria, with that being said, we use less than 20cc/drain/24 hours and a drain can be removed. If two drains, we pull the highest drain on a TT and then the second one after the same criteria.

Justin Gusching, DO · Answer

It is very surgeon dependent. Also depends on the surgery and if there was any fluid collections (seroma). Repeat surgeries tend to drain more. I usually remove my drains, if everything is standard, at 20-30cc/24hrs.

Christine Fisher, MD, FACS · Answer

Surgeons can have different volume thresholds when it comes to removing JP drains, but most agree that a drain putting out less than 20-30 ml per 24 hours is low enough to remove. In most cases in my practice, I wait until the drain is outputting less than 20 ml per 24 hours before removing it.

Francis X. Fleming, MD · Answer

Most surgeons will pull the drains if the amount is less than 20 ml/24 hrs over a few days. It will also depend on the consistency of the the fluid.

Andrew P. Trussler, MD · Answer

Drains are tubes placed in an operative bed which are usually closed suction systems which help to remove fluid normally secreted by the body in the immediate healing process. The volume usually accepted for drain removal is 30 cc per day for two consecutive days, though this can be variable depending on drain location. I hope this helps. Dr. Trussler

Kevin Brenner, MD, FACS · Answer

Drains are placed after many operations in order to prevent any fluid from accummulating under the tissues...and prevent a seroma formation. As a general rule, drains can be removed once the output has fallen below 25 cc in a 24 hour period. However, this frequently depends on the procedure being performed as well as any particular issues associated with the patient. In some cases, I will leave them in longer.

Turkia Abbed, MD · Answer

I agree that the drain is safe for removal when the output is less than 25ml over a 24 hour period. 
Although the drain may sometimes be uncomfortable or inconvenient, it is very important to be honest about the drain output to prevent the drain being removed too early. 
If a drain is removed too soon, a seroma (build up of the fluid under the skin that the drain was collecting) may form requiring drainage through the skin. This also increases the risk of infection. 
Every patient is unique and their body will react differently to the surgery, the implant and the drain resulting in varying duration for drain removal. The average is 4-7 days.

Aldona J. Spiegel, MD · Answer

I usually like to see less than 25 cc of fluid per drain per 24 hrs. The thought behind this amount is that the body is going to be able to resorb less than that amount, thus preventing fluid accumulation which can lead to developing a seroma.

Robert Whitfield, MD · Answer

I usually use about 30cc in 24 hours.  It can be less than this.  Each person is going to be different and the drains don't always work the same from side to side.

Constance Chen, MD, MPH, FACS · Answer

Every surgeon has their own protocol, but I like to wait until the drains are putting out less than 20 cc/day x 2 consecutive days before pulling out the drains. This is because the drain output can go up and down, and I like to be sure that the fluid collection is truly disappearing before pulling the drains. It is no fun for the patient to have to deal with a fluid collection (seroma), as this can feel like an uncomfortable water balloon that needs to be regularly drained with a needle.

How Much Fluid Should Be Draining in a Day in Order for my Jp Drains to Be Taken Out?

Answers (14)

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