Post-Caesarean Drain Placement - Minor Procedure Leading to Major Complication QD03-QD04
Dr. Vishnu Bhartiya,
Assistant Professor, Department of Obstetrics and Gynecology, University College of Medical Sciences
and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India.
Intra abdominal drain insertion in doubtful cases has been practised since many years. It may be associated with certain minor as well as major complications like drain site haemorrhage, infection, intestinal perforation and even visceral herniation from the site. Herein, we report a case of 28-year-old unbooked G2P1L1 at 33 weeks gestation with previous caesarean, who underwent Lower Segment Caesarean Section (LSCS) in view of breech presentation in labour. On sixth postoperative day, tubular structure herniation through the drain site was observed. She was undertaken for laparotomy and fallopian tube herniation through the drain site was confirmed. Ipsilateral salpingectomy was done. Thus, drain placement lead to prolonged hospital stay and maternal morbidity.