tag:blogger.com,1999:blog-2760353953251845523.post2686681445964167891..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Jackson-PrattJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger64125tag:blogger.com,1999:blog-2760353953251845523.post-75035457025036672902015-01-24T10:18:51.047-05:002015-01-24T10:18:51.047-05:00Had a Whipple surgery two months ago,and still hav...Had a Whipple surgery two months ago,and still have the jp drainage.and it doesn't seem to get any better.still draining a lot.its that normal ?? <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-18127156397412652272014-03-21T13:37:10.322-04:002014-03-21T13:37:10.322-04:00Hello Doctor, Came across your blog today while se...Hello Doctor, Came across your blog today while searching for drainage after open gb surgery. My 73 yr old mum underwent open gb surgery, after her cbd got nicked while being operated laparoscopically on 11/03/14.The operating surgeon did a hepaticojejunostomy & a jejunojenuostomy ( he is a liver transplant surgeon) and he has left a closed suction drain in situ to drain the peritoneum. Mum is afebrile on tab Ceftum 500 mg BD (Cefuroxime axetil) orally and at home since 19/03/14. The bile had been draining steadily 70 ml on 19/03/14, 90 ml on 20/03/14. In your experience how many days does it take to go below 30 cc? She is ambulant. Also do I need to give her antibiotics with the drain in situ? I thought it was advisable although its taking away her apetite. She's non diabetic, but hypertensive(on Atenolol 25 mg OD).She weighs about 45 kg. Could you care to suggest another antibiotic? and how many days? Would really appreciate your opinion.Her SGOT, PT are between 45-50 IU/L yesterday, but ALP & GGTP are raised still(218IU/L & 245 IU/L). Could not find any literature on this subject on the net.Today her USG abdomen revealed no collection of fluid. I am a practising GP based in New Delhi India, right now on leave to nurse her.Dr. G Sinhanoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-25014296287025355232013-08-01T15:19:58.762-04:002013-08-01T15:19:58.762-04:00I had surgery on 7/26/13 for a very bad gallbladde...I had surgery on 7/26/13 for a very bad gallbladder. They left a jp drain in, and have sent me home with it. They said I had damage to one of my bile ducts, and since I had a gastric bypass several years back they were unable to do a ercp. I am draining around 300cc of bile in a 24 hour period. They didnt tell me how long my jp would be in, or how long it may take the bile duct to heal. And I cant find very many answers anywhere. As far as I can tell the drain is doing what it's supposed to do, not to much pain, and I'm keeping the site clean. Just would like to know how long it may take a bile duct to heal? Thank you, Deborah in Wise, VAAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-39670000203482541892012-12-15T10:31:07.641-05:002012-12-15T10:31:07.641-05:00First and foremost, I am not a physician. I speak ...First and foremost, I am not a physician. I speak only from experience. I've spoke with other patients regarding their drains and recovery and have come to the conclusion that everyone will have a different draining experience. I think draining is a good sign but if you are alarmed please call the surgeons to get some<br />Peace of mind!<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-67691885382378560082012-12-14T21:03:54.873-05:002012-12-14T21:03:54.873-05:00My dad had a mass removed frm tail of pancreas and...My dad had a mass removed frm tail of pancreas and the spleen removed. He has wore the drain now for 10 days and the stuff hasn't slowed down at all. He went to doc and they are gonna check it again Tuesday. I am concerned something else may be leaking. How would u know if that was the case?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-26896595860016571272012-04-28T23:00:18.928-04:002012-04-28T23:00:18.928-04:00Shandell
I hope this still gets checked too! April...Shandell<br />I hope this still gets checked too! April 11 I had a 10cmx10cm benign lipoma removed from the deep subfascial area of my lower back. I still have my JP drain. I suspected the beginnings of infection about 3 days ago and was put on druacef but it does not seem to be responding. Now I am getting small amounts of green viscous pus from the jp site and the drainage looks like orange pond water: very murky with bits of flotsam. Additionally, the site is EXTREMELY painful, with the lightest tug causing a great deal of distress. I intend to call my surgeon back on Monday, but are there any alternatives to a JP drain. Because of the infection, I'd like to have the drain pulled ASAP, but I am still draining about 100ccs a day and do not want to risk any fluid related complications. Here's hoping this forum still gets checked.Anonymoushttps://www.blogger.com/profile/03993243174291249555noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-73994034100891513322012-04-07T23:06:22.859-04:002012-04-07T23:06:22.859-04:00I'm not sure if you still check this, hoping y...I'm not sure if you still check this, hoping you do! I had a radical hysterectomy and lymphandectomy 6 1/2 weeks ago and I STILL have a JP Drain in, I am still getting any where between 300-500cc every day. I don't think this is normal and my dr doesn't seem concerned... Do you have ANY advice for me?Shandellhttps://www.blogger.com/profile/05522457794868360354noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-74086014760902525552011-11-22T13:48:22.973-05:002011-11-22T13:48:22.973-05:00This comment has been removed by the author.Bryann not a girlhttps://www.blogger.com/profile/16318132302218627283noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-86879385118356640522011-05-06T10:21:42.790-04:002011-05-06T10:21:42.790-04:00Radiologist what type of CT would you order to see...Radiologist what type of CT would you order to see if there ws a broken JACKSOn Pratt inside someone?Brookehttps://www.blogger.com/profile/04076293322320493646noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-12124077558653783662011-05-06T10:20:30.902-04:002011-05-06T10:20:30.902-04:00IF there are ny radiologists out there tht read th...IF there are ny radiologists out there tht read thsi please advise wht tytpe of CT would you do if you were looking for a broken off piece of Jackson Pratt inside soemone. IS there a specific test you would want done to see plaastic inside someone. WIth or without contrast.Brookehttps://www.blogger.com/profile/04076293322320493646noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-14841056641995782272010-11-16T12:29:49.267-05:002010-11-16T12:29:49.267-05:00I had a ruptured appendectomy and cecum removal. ...I had a ruptured appendectomy and cecum removal. When I woke up from my surgery, I had one JP drain coming out of my left groin (don't ask my why the drain was coming out of my left side when your appendix is on my right). I had 140-150ml a day for 2 weeks and then it slowly dwindled down to 50-60ml after 2 months. The doctor wouldn't remove it unless I produced less than 40ml. Two months later, I had severe pain from where the tube was coming out. The doctor finally did a CT scan and just found a swollen colon. He removed it that same night and put me on flagyl. After 2.5 months, I am finally better. I am writing this because I googled this issue for hours and didn't find anything close to what happened to me other than this site. I just wanted to let people know that this can happen after a routine surgery. I just wish they had put me on antibiotics the day after my surgery.Unknownhttps://www.blogger.com/profile/14901546037795323606noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-85255651843766101942010-07-12T13:51:31.768-04:002010-07-12T13:51:31.768-04:00Had a sarcoma chemo radiation and finally extracti...Had a sarcoma chemo radiation and finally extraction. Went home with 3 Jackon Pratts. 2 were removed after 4 weeks one left in for 6. Had the 3rd one pulled out and an infection developed MRSA. HAd a muscle flap operation to plug the hole and another 2 JPs inserted. Intense pain followed. Had the JPs removed and infectin was gone yet intense pain followed for the next 5 years. I always thought there was a foreign body (ie.e JP broke off inside my back) Had a thrid operation to cut 4 intercostal nerves and 7 general nerves to kill pain. It did not work. I asked the Dr. to look for a foreign body inside me. Jokingly he said no cell phones found inside. After 6 months of more pain (i.e. the pain killing operation did not work). I still suspect there is something left behind in me. After reviewing photos of the last operation I noticed the Dr. did not go back into the site of where the pain radiates but went in to cut the nerves so -- he really could not have reviewed if there was a a piece of JP left behind or not. Intense pain persists every day all day. I take a ton of pain med but to no avail. It sucks. Anyone have any advice insight or suggestions. Is it possible that a piece of JP still be inside me after all these years causing the pain???????Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-2914724418490549962010-04-03T01:27:38.371-04:002010-04-03T01:27:38.371-04:00Wow am I glad I found this blog! I have 2 stints a...Wow am I glad I found this blog! I have 2 stints and a jp bag in, that has been draining about 300cc's a day. I was rushed into surgery 2 nights ago, following a gallbladder removal from 8 days prior. I have had the hida scan,ERCP, stints and jp drain, however,my fluid is still coming out red. My doctor says this is normal, although, I donot feel this is normal.I am 28 years old and very young for this kind on problem. My blood presure since all of this has been running in the 170's over 100's. My surgen has already lost my trust in him over the whole situation, that I will not mention here. Can someone please tell me to set my mind at ease that all of these things are ok? I am very scared and just want to stop hurting.<br /><br />Thank you for any input!BRANDIhttp://BRANDI34982@HOTMAIL.COMnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-82449620854474829182010-02-26T10:17:36.402-05:002010-02-26T10:17:36.402-05:00I had bilateral free flap reconstruction on 1/26/1...I had bilateral free flap reconstruction on 1/26/10. The right breast was delayed after a mastectomy in Feb. of 07, the left was a prophylactic mastectomy with immediate reconstruction.<br /><br />I have had the abdominal JP drain for 5 weeks and am still draining 40cc's average per day. The drain is now starting to get an unpleasant odor. My Plastic surgeon wants to leave it in until I am at 30cc's per day for two consecutive days. I am ok with that because I don't want to develop a seroma, but I am also concerned about the odor. <br /><br />What is your opinion?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-60942949628352284432010-02-19T19:39:52.854-05:002010-02-19T19:39:52.854-05:00I had a coccygectomy and the JP drain was removed ...I had a coccygectomy and the JP drain was removed less than 24 hrs later by the surgeon. 8 days later I returned for an emergency surgery due to infection. They found a 3 in piece of fractured JP drain inside. Have you heard of this happening?CChttps://www.blogger.com/profile/13343980839216295912noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-76859234383662402942009-09-05T13:04:22.456-04:002009-09-05T13:04:22.456-04:00My Dad just had a radical prostatectomy 5 days ago...My Dad just had a radical prostatectomy 5 days ago and was switched from a JP to a passive gravity drainage bag. I love a good Jackson Pratt, so I was a bit disappointed when we went home with this crappy drainage bag. It keeps getting clogged with stringy clots and his 24hr output is still around 250cc's. I'll be so glad to see the drain go!Lindsayhttps://www.blogger.com/profile/11187553909542845538noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-46814884115836203352009-08-13T16:09:37.505-04:002009-08-13T16:09:37.505-04:00My husband had the Whipple Procedure done for panc...My husband had the Whipple Procedure done for pancreatic cancer. He has had a JP drain for 3 weeks. The stuff that comes out is vile and smells horrible and changes color day by day. Now, the drain tube is plugged up and nothing is coming out into the bulb. Fluid is leaking out of the abdomen through the stoma opening. Doctor is on vacation but PA says we may have to have a bigger tube inserted tomorrow. As of yesterday he was still draining over 200cc per day. The site is infected and pussy and is this what is pluggin up the tubing? Any suggestions? Yes, he is on antibiotics for this infection.Unknownhttps://www.blogger.com/profile/08678047463350357248noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-16785852920516456782009-08-10T15:02:16.937-04:002009-08-10T15:02:16.937-04:00I hate my JPs- I just had a tummy tuck & they ...I hate my JPs- I just had a tummy tuck & they are SO uncomfortable- more uncomfortable than the actual surgery!!!! I am going into my doctor today hopefully to get these bad boys removed...I ABSOLUTELY HATE THEM! You doctors are HORRIBLE for making us go home with these things! UGH!Unknownhttps://www.blogger.com/profile/08588723558928868713noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-47297041161542048562009-06-10T19:26:35.852-04:002009-06-10T19:26:35.852-04:00I just got my JP removed yesterday and the doctor ...I just got my JP removed yesterday and the doctor said it was the fibrinous tissue that comme out the J.P. , and as i said i release the pressure like 2 HOURS before the extraction and the doctor pull it out in one shot and that just surprise me more than it hurt.jonathannoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-26240520025809015852009-06-09T10:13:41.720-04:002009-06-09T10:13:41.720-04:00i have a JP for about 3 week now (it supposed to b...i have a JP for about 3 week now (it supposed to be removed today) but something weird appear in it this morning , its look like a 20 cm worm or tissue i really dont know what is that ... thing? I ask my nurse this morning and she said in 36 years of my carreer i never saw that before.<br /><br />Anyone have any idéa ? and i look on the site that tell after like 1 week with a JP we may have an infection or i have it for 3 week now and the last 4 days drain only like 20cc witch is like blood color do we need to take care about that or no?<br /><br />Other thing i already get an other JP that will be removed like 7 day after it was put in it and the nurse tell me to get off the presure of the JP like 30 min before the extraction to release the tissue from the JP. Don't know if it work but that not really hurt when it was extract , hope this will help.<br /><br />(P.S: sorry for my bad enflish)Jonathannoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-84703621324705445412009-03-20T22:32:00.000-04:002009-03-20T22:32:00.000-04:00Should JP's be replaced/swaped if they are in long...Should JP's be replaced/swaped if they are in longer than 3 weeks? Not sure if this is something done to prevent infection or if the JP just stays in until the drainage amount is low enough for removal...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-79721838401502353352009-02-20T01:21:00.000-05:002009-02-20T01:21:00.000-05:00Hi, I am a 35 yr old paraplegic and have some impo...Hi, I am a 35 yr old paraplegic and have some important questions regarding these jp drains.<BR/><BR/>I have had several decubitus ulcers surgeries, including two muscle flaps and one excision & closure. recently I discovered 11cm of a drain had been left inside my body and it has caused me a world of complications. determining which surgery caused this is proving to be difficult to investigate. first of all, how long could these drains survive inside the body? my first surgery was in 1996 and a jp was used. my second surgery was in 2005 but I cannot recall if a jp was used or not. however, from xray and CT images, it appears that it showed up after the 2005 surgery. would a surgeon use the drain/strip part of the drain (the end of the jp with the plastic strip and holes) as a surgical tool during surgery? I have also had a girdle stone procedure done on my right hip due to a bone infection in my hip joint and developed a fistula to my thigh and I wonder if this was caused by the drain that was left behind. I also contracted MRSA after the 2005 surgery. any information you could provide would really help me with my investigation of this mystery. your quick response would be very greatly appreciated. thanks in advance!<BR/><BR/>JoeAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-8602377082376454592009-01-05T02:57:00.000-05:002009-01-05T02:57:00.000-05:00Enjoyed the info on the blog very much. I am a nur...Enjoyed the info on the blog very much. I am a nurse of 33 years and a Doc's look at practices is a very different perspective. I came here seeking input about JP drains. I currently work in long term care although my experience is diverse. Our current Director of Nurses is just a great nurse, business woman and manager. We have been accepting admissions with higher acuity. I need some updating. <BR/>We have several problems in long term care. One is widely differing skill levels in the nursing staff. Another is that the surgeon does not follow the pt back to the nursing home. The third is the MD on call rotates through. Often I am asking for orders for my pt from a doc who knows nothing about the pt or the history. I read all H&P's, the surgical reports, review labs etc before I call the MD. I then call give a background picture and the current clinical findings I am concerned with. Also as a long term care nurse I have much more involvement with pt, and family than do most other aspects of nursing. <BR/>Given this background here is my question. I have young 30's pt who has a pineal tumor and is in a vegatative state. He has a peg tube in place and Mom is a nurse. He recently developed a gangranous gallbladder that burst during removal. He subsquently flooded his Jp with 150 cc of drainage. He was transported to a larger hospital had an ECRP done and removed a blood clot. He developed<BR/>pneumonia and has a PICC line and is receiving 3 abx's gentamycin, lyvox. He back to our facility with a JP in place that is probably 3 weeks old. Yesterday there was 15cc in the JP of rusty clear serosangious dranage. He bowel sounds are hypoactive and his lung sounds are diminshed and have ronchi. He has restarted his tube feeding also. Yesterday there was no residual for his tube feeding. Today there was no drainage in the JP drain for 24 hours. Same poor bowel sounds and lung sounds. I did get 15 cc cloudy foul smelling yellow green drainage residual before I started to give my pt his tube feeding. I called the on call doc gave him the same hx as above. I recieved orders to hold the tube feeding and restart when there was no residual. I checked again in 1 1/2 hours and there was clear yellow residual. In another 2 hours the residual had cleared. The evening nurse resumed the tube feedings etc. I felt like the pt needed to be evaluated in the ER basically due to the poor bowel sounds and no drainage in the JP, esp in light of this young mans hx. My fear was that the JP was again blocked and there was infectious material backing into the gut from the billary system. Is my understanding of the pathology and the purpose of the JP drain goofed? IF so please fill me in. I hate feeling clueless. <BR/>Thank You<BR/>Jill<BR/>yamanurse@hotmail.comAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-1121425701312929472008-11-20T01:43:00.000-05:002008-11-20T01:43:00.000-05:00How much suction power to they produce in mmg??? C...How much suction power to they produce in mmg??? Cannot find info on it. Thanks to anyone that has an answer for me!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-72922822136174513102008-11-16T18:29:00.000-05:002008-11-16T18:29:00.000-05:00Please visit my website and view the new garment f...Please visit my website and view the new garment for use with Jackson Pratt Drains.<BR/><BR/>www.surgishorts.com<BR/><BR/>Thank You,<BR/>Jackie GreenAnonymousnoreply@blogger.com