Global Journal of Surgery
ISSN (Print): 2379-8742 ISSN (Online): 2379-8750 Website: Editor-in-chief: Baki Topal
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Global Journal of Surgery. 2014, 2(3), 42-44
DOI: 10.12691/js-2-3-3
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Diagnostic Peritoneal Lavage: Blunt Tip 5mm Trocar - Channeled Drain Technique, Novel Technique

Saed Jaber1, , Aftab Ahmad1, Eman Zakarneh1, Ahmad Al-Fayez1 and Meshal Sayali1

1Department of Surgery King Fahd Military Medical Complex, Dhahran, Saudi Arabia

Pub. Date: December 14, 2014

Cite this paper:
Saed Jaber, Aftab Ahmad, Eman Zakarneh, Ahmad Al-Fayez and Meshal Sayali. Diagnostic Peritoneal Lavage: Blunt Tip 5mm Trocar - Channeled Drain Technique, Novel Technique. Global Journal of Surgery. 2014; 2(3):42-44. doi: 10.12691/js-2-3-3


Background: Diagnostic peritoneal lavage (DPL) is an invasive, rapid and highly accurate test for evaluating intraperitoneal hemorrhage or a ruptured hollow viscus. DPL plays a role in both blunt and penetrating abdominal trauma. In this article we are introducing a simple technique that can even speed up the DPL procedure by using blunt tip 5 mm trocar - 15 French Blake silicon drain in a semi-open technique. Method: Semi-open DPL was performed in 11 patients with blunt abdominal trauma (BAT). A blunt tip 5 mm trocar was introduced into the peritoneal cavity blindly and 15 Fr size Blake channeled drain was advanced into the peritoneal cavity and the peritoneal effluent was withdrawn and analyzed. Results: A total of 11 blunt abdominal trauma patients were subjected to 5mm Blunt Tip Trocar-Channeled Drain DPL technique. The DPL was grossly positive in 9 patients (81.8%) and subsequently were managed surgically and in two patients (18.2%) it was grossly and microscopically negative, subsequently both were managed conservatively. There was no complications attributed to this new DPL technique. Conclusion: The preliminary data suggest that blunt tip 5mm trocar - Channeled Drain technique delivers a faster reliable way of performing DPL in trauma patients. However, large number of cases is needed to justify its routine use in trauma.

peritoneal lavage trocar blake drain

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[1]  Advanced Trauma Life Support Student Course Manual for Doctors: American College of Surgeons Committee on Trauma 1997
[2]  Parks RW, Chrysos E, Diamond T. Management of liver trauma. Br J Surg. 1999; 86: 1121-35
[3]  Manganaro AJ, Pachter HL, Spencer FC, et al. Experiences with routine, open abdominal paracentesis. Surg Gynecol Obstet 1978; 146: 795.
[4]  Soderstrom CA, DuPriest RW Jr, Cowley RA. Pitfalls of peritoneal lavage in blunt abdominal trauma. Surg Gynecol Obstet 1980; 151: 513-518.
[5]  Krausz MM, Manny J, Utsumomiya T, et al. Peritoneal lavage in blunt abdominal trauma. Surg Gynecol Obstet 1981; 152: 327-330.
[6]  Neuhof H, Cohen I. Diagnostic Peritoneal Lavage. Ann Surg. 1926; 83: 454
[7]  Cue JI, Miller FB, Cryer HM, Malangoni MA, Richardson JD: A prospective,randomized comparison between open and closed peritoneal lavage techniques. J Trauma 1990, 30 (7):880-883.
[8]  American College of Surgeons: Abdominal trauma. In Advanced Life Support Program for Doctors 8th edition. Chicago, IL; 2008: 111-129.
[9]  Schultz DJ, Weigelt JA: Diagnostic Peritoneal Lavage. In Operative Techniques in General Surgery Volume 5. Issue 3 Edited by: VanHeerden JA, Farley DR. Philadelphia, PA: WB Saunders; 2003: 139-144.
[10]  Lopez-Viego MA, Mickel TJ, Weigelt JA: Open versus closed diagnostic peritoneal lavage in the evaluation of abdominal trauma. Am J Surg 1990, 160: 594-597.
[11]  Molloy D, Kalloo PD, Cooper M, Nguyen TV. Laparoscopic entry: a literature review and analysis of techniques and complications of primary port entry. Aust NZJ Obstet Gynaecol 2002; 42: 246-54
[12]  Nezhat FR, Silfen SL, Evans D, Nezhat C. Comparison of direct insertion of disposable and standard reusable laparoscopic trocars and previous pneumoperitoneum with Veress needle. Obstet Gynecol 1991; 78: 148-50.
[13]  Jacobson MT, Osias J, Bizhang R, Tsang M, Lata S, Helmy M. The direct trocar technique: an alternative approach to abdominal entry for laparoscopy. J SLS 2002; 6: 169-74.
[14]  Thacker LK, Parks J, Thal ER: Diagnostic peritoneal lavage: is 100,000 RBCs a valid figure for penetrating abdominal trauma? J Trauma 2007, 62 (4): 853-857.
[15]  Thal ER: Peritoneal lavage. Reliability of RBC count in patients with stab wounds to the chest. Arch Surg 1984, 119: 579-584.