What is a medical T-tube?
T Tube is a draining tube placed in the common bile duct after common bile duct (CBD) exploration with supra-duodenal choledochotomy. It provides external drainage of bile into a controlled route while the healing process of choledochotomy is maturing and the original pathology is resolving.
When should a T-tube be removed after cholecystectomy?
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 color is T-tube drainage?
The T-tube is a small, rubber tube that sits in the bile duct and helps bile to drain out of your body into a small pouch, known as a bile bag. The transplant team can check the amount of bile being made by the new liver. The bile will drain into the bag. The bile drainage should be a deep gold to dark green color.
How do you drain a T-tube?
The tube may drain into a bag that is attached to your body….Emptying the bag
- Wash your hands.
- Remove the closure at the bottom of the bag.
- Drain the fluid into a measuring cup.
- Record the amount of fluid each time you empty the bag.
- Replace the closure on the bottom of the bag.
- Wash your hands again.
When do you use T-tube cholangiogram?
Typically a T-shaped tube is left in the common bile duct at the time of surgery (e.g. cholecystectomy) and allows for exploration of the common bile duct (choledochotomy) and retrieval of common bile duct stones.
How are T tubes inserted?
This procedure involves making a small opening in the eardrum to drain the fluid and relieve the pressure from the middle ear. A small tube is placed in the opening of the eardrum to allow air to flow into the middle ear and to prevent fluid from building up.
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.
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.
What is a T-tube nursing?
You have been discharged with a T-tube. 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.
How much should a T-tube drain?
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. Keep the dressing dry.
When do you use T-tube Cholangiogram?
How is T-tube cholangiogram done?
What happens during the procedure? X-ray pictures are taken of the abdominal area. The tube draining the bile duct is cleaned and a small needle is inserted into it. A small amount of contrast (X-ray dye) is injected into the bile ducts through the tube while x-ray pictures are taken.