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Chest tube injury to left ventricle: complication or negligence?

Haron H, Rashid NA, Dimon MZ, Azmi MH, Sumin JO, Zabir AF, et al.

Ann Thorac Surg, 2010 Jul;90(1):308-9.
PMID: 20609810 DOI: 10.1016/j.athoracsur.2010.01.075

An injury to the left ventricle after a chest tube insertion is a rare but lethal phenomenon that is likely to occur if precautions are not seriously addressed. We present a 15-year-old girl who was diagnosed a left empyema thoracis. An attempt to place a chest drain in this young girl was almost fatal. A left ventricular repair together with thoracotomy and decortication were successful. This case emphasizes the rarity of this lethal complication and the importance of the correct technique for chest tube insertion.

Matched MeSH terms: Drainage/adverse effects; Drainage/instrumentation
Multiple subcutaneous puncture and stoma bag drainage for gross lower limb edema: a case report

Beng TS, Chin LE

J Palliat Med, 2010 Aug;13(8):1037-8.
PMID: 20712471 DOI: 10.1089/jpm.2009.0314

We present a case of gross lower limb edema in a 21-year-old man with an intra-abdominal malignant fibrous histiocytoma. He had a 1-month history of lower limb edema secondary to inferior vena caval obstruction. His edema failed to respond to a combination of diuretics, oral frusemide 40 mg daily and oral spironolactone 100 mg daily. Subcutaneous drainage of both lower limbs with butterfly needles was performed with minimal improvement. However, he gained significant symptomatic relief with multiple subcutaneous punctures and stoma bag drainage. A total of 12.8 L of serous fluid was drained with this simple and effective method. This is the first report of the use of this method.

Matched MeSH terms: Drainage/instrumentation; Drainage/methods*
Fulltext Bilateral subtentorial empyema complicated with nosocomial acinectobacter ventriculitis: a case report

Sim SK, Ch'ng CH, Tan YC, Kandasamy R, Abdullah JM

Med J Malaysia, 2014 Apr;69(2):86-8.
PMID: 25241818 MyJurnal

Subtentorial subdural empyema is a rare and life threatening intracranial suppuration. It is usually an intracranial complication of otogenic infections. Early diagnosis and surgical drainage are the most important factors determining prognosis. The high mortality reported in the literature reflects the severity of subtentorial subdural empyema if proper management is delayed. Intracranial infections usually require between 4 to 6 weeks of intravenous antibiotics therapy. However, the prolonged duration of hospitalization as well as requirement for neurosurgically inserted indwelling devices may predispose these patients to new nosocomial infections.

Matched MeSH terms: Drainage
Fulltext The surgical treatment of carbuncles: a tale of two techniques

Hee TG, Jin BJ

Iran Red Crescent Med J, 2013 Apr;15(4):367-70.
PMID: 24083015 DOI: 10.5812/ircmj.2992

The treatment of carbuncles is early administration of antibiotics and surgery. The commonest surgical approaches are saucerization, and incision and drainage (I&D). Although these two techniques are vastly different, there is a lack of evidence to determine which one produces a better outcome. Three cases of carbuncles are presented to illustrate the contrasting surgical techniques and their results. Three consecutive patients who presented to this hospital with carbuncles were treated with either saucerization or I&D. They were followed up for 8 weeks to assess their outcome. One patient had saucerization while two other patients underwent I&D of their carbuncles. Saucerization produced the shortest length of hospital stay. I&D resulted in earlier wound healing. A randomized controlled is needed to determine the best surgical approach for the treatment of carbuncles.

Matched MeSH terms: Drainage
Fulltext Combined laparoscopic cholecystectomy and drainage of pancreatic pseudocyst: a case report and review of current management

Che Jusoh MA, Hassan J, Mohd Nor R, Kong CF, Zahirah Awang NF

Med J Malaysia, 2013 Jun;68(3):273-4.
PMID: 23749024 MyJurnal

Pancreatic pseudocyst is a well recognized complication of acute or chronic pancreatitis. Active treatment (surgical or endoscopic) has been recommended if the pseudocyst persists for more than 6 weeks after the diagnosis. Open trans-abdominal drainage was initially the mainstay treatment for it. However, over the past decade, laparoscopic techniques have been developed to provide patient with minimal access alternative. We report a case of a large symptomatic pseudocyst which developed following attack of severe gallstone pancreatitis. Laparoscopic cholecystectomy and cysto-gastrostomy were done at the same sitting. The operative technique is briefly explained.

Matched MeSH terms: Drainage
Fulltext Supraclinoid direct carotid-cavernous sinus fistula

Che Ani MF, Kumar R, Md Noh MSF, Muda AS

BJR Case Rep, 2018 Mar;4(3):20170058.
PMID: 31489208 DOI: 10.1259/bjrcr.20170058

Carotid-cavernous fistulas (CCFs) are vascular shunts between the carotid arterial system with direct drainage into the cerebral venous system, mainly to the cavernous sinus. Direct CCF is a well-recognised complication following head trauma. Classically in direct or traumatic CCF, vessel wall tear occurs at the cavernous segment of the internal carotid artery, between the fixed and free segment. Tears at the supraclinoid segment are rare. We report a case of an internal carotid artery supraclinoid segment pseudoaneurysm, with a direct communication with the cavernous sinus, draining into the superior ophthalmic vein.

Matched MeSH terms: Drainage
Fulltext Short-course modified regimen intrapleural alteplase and pulmozyme (DNase) in pleural infection

Faisal M, Farhan R, Cheong XK, Ng BH, Nuratiqah N, Andrea Yl B

Respir Med Case Rep, 2020;31:101168.
PMID: 32714827 DOI: 10.1016/j.rmcr.2020.101168

Pleural infection is a common clinical condition leading to hospitalisation. In the last decade, advances in pleural research have led to a paradigm shift in the treatment of complex effusion from a surgical approach to a less invasive non-surgical approach using a combination of intrapleural fibrinolytics and pulmozyme (DNase). We report 3 patients with pleural infection. Intercostal chest catheter failed to drain the complex effusion. They were subsequently treated with a modified short-course regimen of alteplase and DNase. They received 3 cycles of 16 mg alteplase with 5 mg DNase each within 24 hours and all three had a favourable outcome with no adverse effects. This modified regimen appears effective with good safety profile and adds to the current literature on the safety and effectiveness of different dose combinations of alteplase and DNase.

Matched MeSH terms: Drainage
Fulltext Azygos continuation of the inferior vena cava in carcinoma of oesophagus.

Mubarak, M.Y.

International Medical Journal Malaysia, 2008;7(2):57-61.
MyJurnal

The azygos system enlarges in cases of obstruction to the superior vena cava or inferior vena cava and result in increase blood flow through the system. Azygos continuation of the inferior vena cava is usually congenital and asymptomatic. The azygos vein is the sole drainage of the blood from the lower half of the body to the heart. It is crucial to identify the anomaly as it might involve in the surgical planning of tumours in the thorax or abdomen. Computed Tomography is a non-invasive technique and provide important information about the tumour and the vascular anomaly.

Matched MeSH terms: Drainage
Fulltext Passive in situ remediation using permeable reactive barrier for groundwater treatment

Zafira Madzin, Faradiella Mohd Kusin, Mohd Shakirin Md Zahar, Siti Nurjaliah Muhammad

The Pertanika Journal of Scholarly Research Reviews, 2016;2(2):1-11.
MyJurnal

The contamination of water bodies from heavy metals, either from natural sources or
anthropogenic sources, has become a major concern to the public. Industrial activities with improper
water treatment, and then leach into the water body, have become contaminated and harmful to
consume. Passive remediation is one of the treatments introduced to counter this problem as it is a low
cost but effective technique. After being widely acknowledged and through research conducted, the
most suitable remediation technique found is the permeable reactive barriers (PRBs). PRB is defined
as an in situ permeable treatment zone filled with reactive materials, designed to intercept and
remediate a contaminant plume under natural hydraulic gradients. There have been many findings
made from PRB which can be used to remove contaminants such as heavy metal, chlorinated solvents,
carbonates and aromatic hydrocarbons. The most crucial criteria in making a successful PRB is the
reactive media used to remove contaminants. The current paper presents an overview of the PRB
selective medias that have been used and also the unresolved issue on the long term performance of
PRB. The overall methodology for the application of PRB at a given site is also discussed in this
paper. This inexpensive but effective technique is crucial as a sustainable technology in order to treat
the drainage before it enters water tables to prevent water pollution and can be used as an alternative
raw water source.

Matched MeSH terms: Drainage
Fulltext Flow in a branching open channel: a review

Alomari. Nashwan K., Badronnisa Yusuf, Thamer Ahmed Mohammed Ali, Abdul Halim Ghazali

The Pertanika Journal of Scholarly Research Reviews, 2016;2(2):40-56.
MyJurnal

Branching channel flow refers to any side water withdrawals from rivers or main channels.
Branching channels have wide application in many practical projects, such as irrigation and drainage
network systems, water and waste water treatment plants, and many water resources projects. In the
last decades, extensive theoretical and experimental investigations of the branching open channels
have been carried out to understand the characteristics of this branching flow, varying from case
studies to theoretical and experimental investigations. The objectives of this paper are to review and
summarise the relevant literatures regarding branching channel flow. These literatures were reviewed
based on flow characteristics, physical characteristics, and modeling of the branching flow.
Investigations of the flow into branching channel show that the branching discharge depends on many
interlinked parameters. It increases with the decreasing of the main channel flow velocity and Froude
number at the upstream of the branch channel junction. Also it increases with the increasing of the
branch channel bed slope. In subcritical flow, water depth in the branch channel is always lower than
the main channel water depth. The flow diversion to the branch channel leads to an increase of water
depth at the downstream of the main channel. From the review, it is important to highlight that most
of the study concentrated on flow characteristics in a right angle branch channel with a rigid boundary.
Investigations on different branching angles with movable bed have still to be explored.

Matched MeSH terms: Drainage
Fulltext Parapharyngeal Abscess in Immunocompromised Patients

Gani, A.N., Abdullah, A., Hazim, M.Y.S., Rozman, Z.

Medicine & Health, 2007;2(2):158-163.
MyJurnal

Parapharyngeal abscess is a serious medical condition that may lead to life-threatening complications. Its incidence has dramatically decreased since the advent of antibiotics. We report two cases of parapharyngeal abscesses in immunocompromised patients. We believe that early diagnosis, broad-spectrum antibiotics, surgery and pus drainage can prevent serious complications.

Matched MeSH terms: Drainage
Fulltext Peritonsillar swelling is not always quinsy

Mohamad I, Yaroko A

Malays Fam Physician, 2013;8(2):53-5.
PMID: 25606284 MyJurnal

Quinsy is a common encounter in family physician practice. It is defined as a collection of purulent material in the peritonsillar space, giving appearance of unilateral palatal bulge. Presenting symptoms include trismus, muffled voice, odynophagia, and ipsilateral otalgia. When the diagnostic needle aspiration reveals no pus, the diagnosis is changed into peritonsillar cellulitis or also known as perintonsillitis. Peritonsillitis is sufficiently treated with antibiotics unlike a quinsy which warrants surgical incision and drainage.

Matched MeSH terms: Drainage
Fulltext Bilateral peritonsillar abscess: A rare emergency

Boon C, Wan Mohamad WE, Mohamad I

Malays Fam Physician, 2018;13(1):41-44.
PMID: 29796210 MyJurnal

Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis. Prompt diagnosis and fast drainage are warranted to avoid unwanted morbidity, and, also, mortality.

Matched MeSH terms: Drainage
Fulltext Stream flow projection for Muar river in Malaysia using précis – HEC-HMS model

Malek, M. A., Heyrani, M., Juneng, Liew

ASM Science Journal, 2015;9(1):8-19.
MyJurnal

In this study, the implementation of the Regional Climate Model into the hydrodynamic model has been applied for streamflow projection on a river located at the south of Peninsular Malaysia within the years 2070 till 2099. The data has been obtained from a Regional Climate Model (RCM), named Précis, on a daily basis. It begins by comparing historical rainfall data generated from Précis versus the actual gauged recorded rainfall data from Department of Irrigation and Drainage Malaysia (DID). The bias of the generated rainfall data has been reduced by statistical techniques. The same has been applied to the future generated rainfall data from 2070 to 2099. Using the generated precipitation data as input to the hydrological model, results in the daily output of river discharge identified as the main contributor of flood occurrences. Based on the results of the hydrological model utilised, e.g. HEC-HMS, comparison was made between the future and historical generated discharge data using Précis between the years 1960 till 1998. Dividing a year into three segments, e.g. January-April, May-August, SeptemberDecember, the results show that there would be a significant drop of peak discharge in the third segment and an increase in discharge during the second segment. The first part remains almost with no changes. As an addition, the drop of the peak shows reduction in the probability of flood occurrences. It also indicates the reduction in water storage capacity which coherently affects the water supply scheme

Matched MeSH terms: Drainage
Independent predisposing factors for subcutaneous and deep wound collection after total thyroidectomy, a prospective cohort study

Eweida AM, Ebeed HM, Sakr MF, Hamza Y, Gabr E, Koraitim T, et al.

Ann Med Surg (Lond), 2018 Dec;36:10-16.
PMID: 30364680 DOI: 10.1016/j.amsu.2018.10.015

Background: The literature contains diverse and sometimes contradicting results about wound seroma following thyroidectomy. This is probably due to the subjective clinical estimation of seroma, or due to failure to differentiate between the occurrence of subcutaneous (SC) and deep wound collections. This work aimed at objectively investigating the factors affecting subcutaneous and deep wound seroma after thyroidectomy.
Methods: The relation between various operative and clinico-pathological factors and the collection formation was prospectively analyzed in a cohort of 100 patients after conventional thyroidectomy. Wound seroma was assessed clinically and via high-resolution ultrasonography at 24 h, 48 h and two weeks postoperatively. Sonographically detected collections were expressed as SC and/or deep wound collections according to the relation to strap muscles.
Results: Operative duration was the only independent factor significantly affecting the incidence of clinical seroma. Older patients (>40ys) showed significantly larger volumes of early SC collections. Early postoperative pain was significantly related to drain insertion, to the occurrence of clinical seroma and to the volume of SC collections.Sonographically, suction drains and shorter operative durations resulted in significantly less amount of deep collections. Suction drains did not result in less amount of SC collections or in a lower incidence of clinical seroma.
Conclusions: Operative duration is the only independent factor significantly related to clinically-detected postoperative seroma with its subsequent postoperative pain. Especially in elderly patients, a flapless technique would be recommended as these patients developed larger volumes of SC collections with subsequent higher pain scores, even if seroma was not clinically detected.

Matched MeSH terms: Drainage
Fulltext GIS based assessment on landslide hazard zonation: case study of Cameron Highlands – Gua Musang road Kelantan, Malaysia

Mohamed M. GahGah, Juhari Mat Akhir, Abdul Ghani M. Rafek, Ibrahim Abdullah

Sains Malaysiana, 2009;38(6):827-833.

The aim of this study is to investigate the factors that cause landslides in the area along the new road between Cameron Highlands and Gua Musang. Landslide factors such as lineaments have been extracted from remote sensing data (Landsat TM image) using ERDAS software. A soil map has been produced using field work and laboratory analysis, and the lithology, roads, drainage pattern and rainfall have been digitized using ILWIS software together with the slope angle and elevation from the Digital Elevation Model (DEM). All these parameters, which are vital for landslide hazard assessment, have been integrated into the geographical information system (GIS) for further data processing. Weightage for these landslide relevant factors related to their influence in landslide occurrence using the heuristic method has been carried out. The results from this combination through a modified ‘index overlay with multi class maps’ model was used to produce a landslide hazard zonation map. Five classes of potential landslide hazard have been derived as the following: very low hazard zone 17.27%, low hazard zone 39.35%, medium hazard zone 25.1%, high hazard zone 15.35% and very high hazard zone 2.93%. The results from this work have been checked through the landslide inventory using available aerial photos interpretation and field work, and show that the slope and elevation have the most direct affect on landslide occurrence.

Matched MeSH terms: Drainage
Environmental geological features of the red clay surrounding rock deformation under the influence of rock-fracture water

Jiading Wang, Tianfeng Gu, Jianbin Wang, Yuanjun Xu, Peng Chen, Muhammad Aqeel Ashraf

Sains Malaysiana, 2017;46:2049-2059.

The development degree of fissure water in underground rock is a great trouble to the construction of railway tunnel, which will cause a series of environmental geological problems. Take the surrounding rock-section of the typical red clay in Lvliang-Mt. railway tunnel below the underground water level as an example, several aspects about the red clay surrounding rock will be researched, including pore water pressure, volume moisture content, stress of surrounding rock, vault subsidence and horizontal convergence through the field monitoring. Taking into account the importance of railway tunnel engineering, the large shear test of red clay was carried out at the construction site specially and the reliable situ shear strength parameters of surrounding rock will be obtained. These investigations and field tests helped to do a series of work: Three dimensional finite element numerical model of railway tunnel will be established, the deformation law of the red clay surrounding rock will be investigated, respectively, for the water-stress coupling effect and without considering it, the variation of the pore water pressure during excavation, the influence degree about the displacement field and stress field of water-stress coupling on red clay-rock will be discussed and the mechanism of the surrounding rock deformation will be submitted. Finally, the paper puts forward the feasible drainage scheme of the surrounding rock and the tunnel cathode. The geological environment safety of tunnel construction is effectively protected.

Matched MeSH terms: Drainage
Fulltext Data for the subsurface characterization of Pahang River Basin with the application of Transient Electromagnetic geophysical surveys

Arifin H, Kayode J, Arifin K, Zahir Z, Abdullah M, Azmi A

Data Brief, 2020 Jun;30:105491.
PMID: 32373680 DOI: 10.1016/j.dib.2020.105491

The Transient Electro-Magnetic (TEM) geophysical technique was deployed to map and characterized the subsurface of Pahang River Basin along the East Coast Peninsula Malaysia. The data aimed at differentiating between the massive zones and the weak zones within the region, to also assess and differentiate the subsurface structures and comes up with recommendations for policy decision, formulation and plans on the flooding impact, surface water and groundwater managements, in addition to other environmental related issues ravaging the area. The data presented in this paper, showed the properties of the subsurface rocks underlain the region as beneficial to the Agriculturists; Climatologists; Engineers; Environmentalists; Geoscientists, Hydrologists and Policy formulation officers. The TEM data collection utilized a 100 m x 100 m single loop coil for both the Transmitter (Tx) loop and the Receiver (Rx) loop to produce a total surface area coverage of 10,000 m2 per survey line along a single profile. The total area covered in the data extended across an average area of 30 km x 40 km in parts of Maran, Temerloh and Jerantut districts, within the State of Pahang, East Coast, Peninsula Malaysia. The conductivity data recorded varied from -20 mS/m to about 440 mS/m at a maximum depth of about 375 m. On the other hand, the resistivity data recorded varied from 0 Oh-m to about 1000 Oh-m. The information derived from the data are intended for potential abstraction by the Malaysian Groundwater Management Board; the Department of Mineral and Geoscience; Department of Irrigation and Drainage; the Pahang State Water Board, and the Department of Agriculture.

Matched MeSH terms: Drainage
Vacuum Drains versus Passive Drains versus No Drains in Decompressive Craniectomies-A Randomized Controlled Trial on Subgaleal Drain Complication Rates (VADER Trial)

Sam JE, Kandasamy R, Wong ASH, Ghani ARI, Ang SY, Idris Z, et al.

World Neurosurg, 2021 12;156:e381-e391.
PMID: 34563715 DOI: 10.1016/j.wneu.2021.09.074

OBJECTIVE: Subgaleal drains are generally deemed necessary for cranial surgeries including decompressive craniectomies (DCs) to avoid excessive postoperative subgaleal hematoma (SGH) formation. Many surgeries have moved away from routine prophylactic drainage but the role of subgaleal drainage in cranial surgeries has not been addressed.
METHODS: This was a randomized controlled trial at 2 centers. A total of 78 patients requiring DC were randomized in a 1:1:1 ratio into 3 groups: vacuum drains (VD), passive drains (PD), and no drains (ND). Complications studied were need for surgical revision, SGH amount, new remote hematomas, postcraniectomy hydrocephalus (PCH), functional outcomes, and mortality.
RESULTS: Only 1 VD patient required surgical revision to evacuate SGH. There was no difference in SGH thickness and volume among the 3 drain types (P = 0.171 and P = 0.320, respectively). Rate of new remote hematoma and PCH was not significantly different (P = 0.647 and P = 0.083, respectively), but the ND group did not have any patient with PCH. In the subgroup analysis of 49 patients with traumatic brain injury, the SGH amount of the PD and ND group was significantly higher than that of the VD group. However, these higher amounts did not translate as a significant risk factor for poor functional outcome or mortality. VD may have better functional outcome and mortality.
CONCLUSIONS: In terms of complication rates, VD, PD, and ND may be used safely in DC. A higher amount of SGH was not associated with poorer outcomes. Further studies are needed to clarify the advantage of VD regarding functional outcome and mortality, and if ND reduces PCH rates.

Matched MeSH terms: Drainage/adverse effects*; Drainage/methods*; Drainage/mortality
Abnormal drainage pathway of a supracardiac total anomalous pulmonary venous drainage in a neonate: a case report

Jamaluddin JA, Ali N

Cardiol Young, 2022 Jan;32(1):21-23.
PMID: 33941298 DOI: 10.1017/S1047951121001475

Supracardiac total anomalous pulmonary venous drainage is commonly associated with a left-sided ascending vein draining into innominate vein. We present a case of a newborn with a right-sided ascending vein, draining into the right superior caval vein with stenosis at the SVC-ascending vein junction, posing a surgical dilemma in corrective surgery. Usage of three-dimensional computed tomographic scan was essential in delineating the anatomy and aiding surgery. The case demonstrates the rarity of this type of cardiac disease and the complications that develop.

Matched MeSH terms: Drainage

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