What is the purpose of T-tube in cholecystectomy?
This is a tube put into the bile duct after surgery. It’s shaped like the letter T. It helps to drain bile while the duct is healing. The tube may drain into a bag that is attached to your body.
What is the purpose of T-tube Cholangiogram?
A T-tube cholangiogram is a special x-ray investigation that is carried out using x-ray dye to visualise the bile ducts after you have had your gallbladder removed. The bile ducts drain bile from the liver into the duodenum (first part of the small bowel).
What is normal T-tube drainage?
Expect 300 to 500 ml of thick, blood-tinged, bright yellow to dark green bile drainage the first 24 hours after surgery. Report drainage greater than 500 ml/day. After about 4 days, the amount will be less than 200 ml/day.
Why do you need a drain after gallbladder surgery?
Most surgeons have placed the drain after cholecystectomy with expectations that it could help to detect postoperative bleeding or bile leakage and prevent intra-abdominal infection.
Why would you need at tube?
This tube is inserted with the intention of preventing the build-up of bile in the common bile duct due to temporary swelling, which is common after any cut in any part of the body.
How do you care for a T-tube?
Wet a cotton swab with normal saline solution (salt and water) or hydrogen peroxide and clean around the incision and tube site. But you can also clean the skin around the T-tube with soapy water. Pat dry with clean gauze. Put a new bandage on the incision and tube site.
What is the bile for?
Bile is the greenish-yellow fluid (consisting of waste products, cholesterol, and bile salts) that is secreted by the liver cells to perform 2 primary functions: To carry away waste. To break down fats during digestion.
Do you irrigate T-tube?
Most T-tubes are not connected to a drainage bag when you are discharged and are therefore closed. When tubes are closed, it is recommended you flush them once or twice daily with 10 mL sterile saline, using sterile techniques (cleaning the cap and the end of the tube with alcohol before injecting saline).
When is T-tube removed?
The T-tube is usually removed 2 weeks after it was placed. There have been numerous reports of bile leak following T-tube removal in the literature. These leaks can result in bile ascites, biloma, or bile peritonitis.
What is bile drainage?
Biliary drainage is a procedure that helps drain extra bile. When bile blocks the bile duct, it can back up into the liver and cause symptoms like jaundice. A biliary drain (also called a biliary stent) is a thin, hollow tube with several holes along the sides. This drain helps bile flow more easily.