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Andrew's drainage tube
MEDIC-ANA
ANDREW’S
DRAINAGE
TUBE
Andrew’s combined suprapubic drainage tube and hemostatic bag was used post prostatectomy. Walker describes it as fellows: “Mr. Alban Andrews has introduced a method of hemostasis which combines some of the advantages of packing with those of the bag. It consists of introducing a suprapubic tube of the Marion type to the end of which is welded a thin-walled bag that can be inserted into the prostatic cavity. Enough gauze packing is introduced through the tube into its bag like erpansion to exert pressure on the walls of the prostatic cavity, the rubber being suffiiently ertensible to allow the requisite amount of distention. When al1 oozing has stopped, the gauze is withdrawn and the tube and bag removed. The layer of rubber between the packing and the walls of the cavity prevent the two sticking together so that no anaesthetic is required fat removal. At the same time it must be confessed that the smoothness of this rubber layer diminishes its hemostatic value.”
From Walker, K. M. : The Enlarged Prostate and Prostatic Obstruction, London, Oxford University Press, 1933. The angulation of the tube so as to bring it out to the abdomen probably did not help much. How many remember packing the fossa tith gauze routinely and then, when removal was indicated, taking the patient to the operating room with an anesthetist and scrub team standing by “in case” severe pain andlor bleeding ensued? JOHN R. HEFWAN, M. D.
Invitation - Anyone knowing of interesting old instruments or urologie techniques is invited to submit them to our feature editor, John R. Herman, M.D., 111 East 88th Street, New York, New York 10028. Full credit wil1 be given to the author. WAINER,0tILCtTl-I Dur Wrrncr.Lrmtxrt Cumpdnv \lorr,r PI4,“. kJ 079,”
1
UROLOGY
/
JUNE 1975
719-G
ANDREW’S
DRAINAGE
TUBE
Andrew’s combined suprapubic drainage tube and hemostatic bag was used post prostatectomy. Walker describes it as fellows: “Mr. Alban Andrews has introduced a method of hemostasis which combines some of the advantages of packing with those of the bag. It consists of introducing a suprapubic tube of the Marion type to the end of which is welded a thin-walled bag that can be inserted into the prostatic cavity. Enough gauze packing is introduced through the tube into its bag like erpansion to exert pressure on the walls of the prostatic cavity, the rubber being suffiiently ertensible to allow the requisite amount of distention. When al1 oozing has stopped, the gauze is withdrawn and the tube and bag removed. The layer of rubber between the packing and the walls of the cavity prevent the two sticking together so that no anaesthetic is required fat removal. At the same time it must be confessed that the smoothness of this rubber layer diminishes its hemostatic value.”
From Walker, K. M. : The Enlarged Prostate and Prostatic Obstruction, London, Oxford University Press, 1933. The angulation of the tube so as to bring it out to the abdomen probably did not help much. How many remember packing the fossa tith gauze routinely and then, when removal was indicated, taking the patient to the operating room with an anesthetist and scrub team standing by “in case” severe pain andlor bleeding ensued? JOHN R. HEFWAN, M. D.
Invitation - Anyone knowing of interesting old instruments or urologie techniques is invited to submit them to our feature editor, John R. Herman, M.D., 111 East 88th Street, New York, New York 10028. Full credit wil1 be given to the author. WAINER,0tILCtTl-I Dur Wrrncr.Lrmtxrt Cumpdnv \lorr,r PI4,“. kJ 079,”
1
UROLOGY
/
JUNE 1975
719-G