Application of Steristrips After JP Drain Removal
Yes, steristrips can be applied after JP drain removal to help close the wound site and prevent complications.
Rationale for Using Steristrips
According to the British Thoracic Society guidelines, steristrips are specifically mentioned as a useful tool for securing drain sites 1. When a JP drain is removed, the resulting wound can benefit from steristrip application to:
- Approximate wound edges
- Minimize scarring
- Reduce risk of infection
- Allow for proper wound healing
Proper Technique for JP Drain Removal and Wound Closure
Preparation:
- Ensure sterile technique throughout the procedure
- Use sterile gloves and equipment
- Clean the area around the drain site with betadine or chlorhexidine 1
Drain Removal:
- Remove any securing sutures if present
- Remove the drain with steady, gentle traction
- Apply gentle pressure to the site with sterile gauze to control any bleeding
Wound Closure with Steristrips:
- Clean and dry the area thoroughly
- Apply steristrips perpendicular to the wound edges
- Place strips with slight tension to approximate wound edges without puckering
- Leave small spaces between strips to allow for drainage if needed
Additional Dressing:
- A transparent adhesive dressing may be applied over the steristrips to allow for inspection of the drain site 1
- Avoid large amounts of tape and padding which can restrict movement and increase moisture collection
Benefits of Steristrips vs. Other Closure Methods
Steristrips offer several advantages over other wound closure methods after drain removal:
- Non-invasive: Unlike sutures, they don't require additional needle punctures
- Reduced infection risk: No additional trauma to the tissue
- Easy application and removal: Can be applied quickly and removed without discomfort
- Allow for drainage: Small spaces between strips permit drainage of any residual fluid
- Cosmetic benefit: May result in less scarring than other closure methods
Special Considerations
- Infection prevention: Maintain sterile technique during the entire procedure to avoid wound site infection 1
- Monitoring: Inspect the wound site regularly for signs of infection or complications
- Duration: Steristrips typically remain in place for 5-7 days, depending on the wound location and healing progress
- Patient education: Instruct patients to keep the area clean and dry
Potential Complications to Watch For
- Infection at the drain site
- Fluid collection or seroma formation
- Wound dehiscence
- Excessive scarring
Conclusion
The British Thoracic Society guidelines specifically mention steristrips as a useful tool for drain sites 1. Their application after JP drain removal is a simple, effective method to promote proper wound healing while minimizing complications and should be considered standard practice in appropriate clinical scenarios.